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Blood glucose support is a secondary benefit relevant to those with prediabetes or insulin resistance
Most patients who stop the medication regain weight within a year
The standard is "documented failure of at least one 3-month intensive lifestyle intervention." What counts as documented lifestyle intervention: Participation in a structured weight-loss program (Weight Watchers, Noom, hospital-based program) with attendance records Regular visits with a registered dietitian (minimum 4 visits over 3 months) with session notes Medically supervised diet program with weekly weigh-ins documented in medical records Participation in a diabetes prevention program (DPP) with completion certificate What does NOT count: "I tried eating less and exercising more on my own" Gym membership without documented weight-loss program Self-directed diet from a book or website Sporadic visits to a primary care doctor without structured intervention The intervention must be documented in medical records
(Elashoff et al., 2011.) The ghrelin family axis contains peptide genes that may serve as biomarkers for cancer
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