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Some people may notice lower energy levels initially due to reduced calorie intake

Medications with a narrow therapeutic index or those requiring rapid onset of action may be particularly affected

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One more time, again using the language racially diverse population of adult men and women with overweight and obesity is ludicrous for a study population that is over 80% white and 72.3% cis male with a lowest possible age of 45 and an average age of 61.6