As a result, about four in 10 Americans are obese -- that’s a whopping 93.3 million adults -- which increases their risk of heart disease, stroke, type 2 diabetes, certain cancers and early mortality, and cost the country $147 billion in medical costs in 2008, according to the CDC. Nearly 80% of American adults are also not getting enough aerobic and muscle-strengthening activity, which is linked to about $117 billion in annual health care costs and 10% of premature mortality, according to the U.S. Department of Health and Human Services.

Packaged meal programs: Many diet plans rely on meal-replacement bars, shakes, or other snack type foods. Still others rely on frozen entrees as a major part of your diet. Ask yourself if you are okay with a bulk of your diet relying on prepackaged snacks, shakes, or frozen meals, or if you prefer the flexibility of cooking your own meals or eating out frequently.
The key to losing weight is eating fewer calories than you expend. That creates an energy deficit, so your body taps into other sources of fuel — namely, your fat stores — to make up the difference. You’ll be able to lose weight safely by creating an energy deficit of up to 1,000 calories a day, which will allow you to lose up to two pounds per week.
If you feel like any extra calories you eat go straight to your belly or thighs, you're not imagining things. Those are usually the areas where you store fat because of your genes, hormones, age, lifestyle, and other factors. Your body tends to hoard calories as fat to keep you alive and safe. The challenge is learning how to get rid of that extra fat.
Maybe you are trying too many things. If you keep switching diets and are doing too much exercise, your body is trying to balance itself. it might also be caused by lack of sleep or too much stress. Do moderate exercise and start eating a little bit cleaner and the pounds will come off. If you still don't notice a difference, talk to your doctor. You might have a thyroid problem or some other medical issue.
Cancer, a very common and sometimes fatal cause of unexplained (idiopathic) weight loss. About one-third of unintentional weight loss cases are secondary to malignancy. Cancers to suspect in patients with unexplained weight loss include gastrointestinal, prostate, hepatobiliary (hepatocellular carcinoma, pancreatic cancer), ovarian, hematologic or lung malignancies.

Hi. I’ve been a subscriber of your podcast for a few years and have heard bits and pieces of your recommendations. I followed a modified paleo diet for the last 3 years and have lost 30-40lbs (not sure about the exact weight since I stopped weighing myself when I got so fat). By modified, I mean I did the best I could but wasn’t 100% compliant and didn’t even workout on a regular basis. Seeing that I got such great results with half arss effort, I’d like to step it up a bit and get healthier and more toned. How much sweet potatoes or other carbs and when should I eat them if I’m attempting something like the Beachbody Body Beast? I find that I lack energy and am too wiped out to do the workouts if I’m doing the paleo strictly. Also, is it safe to paleo during pregnancy? Btw, I’m a physician, but none of this was actually taught in my formal education. I wish it was though. So thank you for doing what you do!!!

The best way to lose weight on the Bulletproof Diet is with Bulletproof Intermittent Fasting.  But if waiting for results just isn’t your thing, you can use this Bulletproof Rapid Fat Loss Protocol – but only if you are currently significantly overweight or obese, and you have healthy, functioning kidneys and liver.  However, you need to understand that your body stores toxins in fat that your liver couldn’t excrete, so when you lose weight very rapidly, those toxins are released and can make you very sick.  This Bulletproof Rapid Fat Loss Protocol helps you avoid any side effects from this toxin release, so it’s important to follow the plan carefully.

While you can get tests to evaluate the cortisol level in your blood, only you can determine your own innate level of stress. Take some time to evaluate if you are living in a constant (or close to constant) state of stress. You might also notice increased anxiety levels, mood swings, trouble sleeping, fatigue (including feeling tired but unable to wind down) and high blood pressure.

Sometimes you exercise adequately and adopt a host of natural remedies to lose belly fat but still, you can’t. If that’s what happens to you, you need to analyze your lifestyle and make some small changes. These changes are very small but may need a while to convert into a habit. If you really want to get rid of your abdominal fat, you better start bringing these lifestyle changes from now itself.
"Probably the most important lesson I've learned is that it's a constant struggle, but I've also learned that I am not alone in the battle," says Cara Lynn. "I've managed to find like-minded people who battle the same demons and who slay similar dragons. The fitness community is like no other I've ever been a part of, and I'm thrilled to have found it." (Here's more on how joining an online support group could help you meet your goals.)

Jillian Michaels is now a well known name in the US, providing expert workout videos and diet tips to help you to shape up. The website provides recipes, diet plans, workouts, tracking and measuring tools, as well as a supportive community to help keep you motivated. First off, it’s worth mentioning that the Jillian Michaels system is probably more exercise-intensive than other diet and...

While meal prep is considered a tedious task, sticking to homemade, wholesome meals are key to fat loss success says John Rowley, Certified Personal Trainer and International Sports Sciences Association Director of Wellness. John suggests organizing your grocery list on the weekend and planning each meal out for the week so that when it comes time to cook, you’re ready to roll—and less tempted to indulge in a quick fix on the way home. No time to cook? “Invest in a crockpot. Just add the ingredients in before heading out for the day, and come home to a healthy masterpiece.”
Studies show that eating breakfast plays a part in successful weight loss — almost 80 percent of people who successfully keep weight off chow down on this meal, according to a study published in Obesity Research. "Your metabolism slows as you sleep, and the process of digesting food revs it up again," explains Heller. Aim for a 300- to 400-calorie breakfast, such as a high-fiber cereal (another metabolism booster) with skim milk and fruit.
Over the past five or six days of this protocol, you’ve been in deep ketosis and burning only fat, but you haven’t had to be particularly calorie restricted. In order to reset leptin levels and prevent a large drop in energy levels, you need to re-feed. Contrary to our normal recommendations, you need to pound down the carbs. When it comes to normalizing leptin levels, fat has no effect, while carbs are going to send them sky high.
Stop treating your kitchen like an all-night diner and you’ll stop seeing those unwanted pounds piling onto your frame, too. The results of a study published in Cell Metabolism found that mice who only had access to food during an eight-hour period stayed slim over the course of the study, while those who ate the same number of calories over a 16-hour period gained significantly more weight, particularly around their middle. When you’re finished with dinner at night, shut the fridge and don’t look back until morning — your belly will thank you. When you do head back to the kitchen in the A.M., make sure the 40 Things Healthy Cooks Always Have in Their Kitchen are there waiting for you.
Also, perform other cardio exercises like jumping rope, swimming, brisk walking, boxing, running, rowing, side crunches, planks, or dancing for not only burning your fat but also work on strengthening your muscles, tone up your back and sculpt the body. Also, drink plenty of water, get enough sleep and consume a healthy diet that includes soluble fibers, healthy fats and essential nutrients to get rid of back fat.  
Unintentional weight loss may result from loss of body fats, loss of body fluids, muscle atrophy, or even a combination of these.[26][27] It is generally regarded as a medical problem when at least 10% of a person's body weight has been lost in six months[26][28] or 5% in the last month.[29] Another criterion used for assessing weight that is too low is the body mass index (BMI).[30] However, even lesser amounts of weight loss can be a cause for serious concern in a frail elderly person.[31]

Weight training is the ultimate way to burn calories fast. "A pound of muscle burns up to nine times the calories of a pound of fat," explains Richard Cotton, M.A., chief exercise physiologist for myexerciseplan.com. Weight training increases your resting metabolic rate, which is the number of calories you burn while sitting on your butt. What's more, it gives your metabolism an added boost after you exercise, staying in overdrive for up to two hours after the last bench press, according to a study published in Medicine & Science in Sports & Exercise. Strapped for time? Try these quick moves: squats, bench step-ups, lunges, push-ups, pull-ups and planks. In a pinch, just do single sets of 10 for each exercise — you'll get optimal results for the time invested.

In 2008 between US$33 billion and $55 billion was spent annually in the US on weight-loss products and services, including medical procedures and pharmaceuticals, with weight-loss centers taking between 6 and 12 percent of total annual expenditure. Over $1.6 billion a year was spent on weight-loss supplements. About 70 percent of Americans' dieting attempts are of a self-help nature.[24][25]


Diet plans are usually divided into three categories, namely Low Carb, High Carb and High Protein. Menu choices also include vegetarian, gluten-free, allergy and diabetic-appropriate meals. It is essential that you consult with a doctor or a nutritionist before enrolling in a diet program this is to ensure that the diet plan is in-tune with their health condition.
A similar program, TOPS (Est. $32 per year, plus $5 chapter dues), pairs a wealth of educational material with group meetings in your community, also called "chapters." TOPS, which stands for Take Off Pounds Sensibly, uses The Food Exchange System, which users say is easy to understand and follow. It has categories of foods with similar serving sizes and caloric loads, and it's easy to swap one food for another. You can even purchase exchange cards that give you food options within categories at a glance, as well as a variety of other accessories, such as food prep tools scaled to accurate portion sizes.
It’s natural! It’s packed with Vitamin C! It comes from Florida! What could be wrong? Well, although 100 percent fruit juice is a better pick than sugary drinks like Sunny D, even the all-natural stuff still packs up to 36 grams of sugar per cup—or about what you’d get from popping 4 Krispy Kreme glazed donuts into a blender and hitting frappé. What’s more, most of the sweetness in juice comes from fructose, a type of sugar associated with the development of visceral adipose tissue—yep, that’s belly fat.
Given that all participants in the study were overweight and “healthy”, what was not studied, and could have been very useful, was what was the impact of the two diets on participants’ blood sugars (HbA1c), insulin levels, and on some measure of inflammation. It is possible that there could have been little difference in weight loss between the two diets but big differences in the impact on risk factors related to diabetes.
Mindfulness matters. “If you slow down and stop just mindless eating, you often realize you don’t need to eat as much as you thought you did; you’re already full,” said Dr. Steinbaum.” Part of this is watching portion sizes, which have ballooned in restaurants over the past 40 years, leading adults to consume an average of 300 more calories per day now than they did in 1985. Did you know that one serving of bread is actually just one slice? Or one serving of pasta or rice is just half a cup? And a serving of cheese is only two ounces, or the size of a domino? You’re probably eating much more than you realized. “There have been multiple studies that see keeping a food journal is effective,” said Dr. Steinbaum. “When you start paying attention, you can really see what you’re doing.”
5. Start with one small change. "I realized that a lot of sugar and calories that I consumed came from drinks, so I challenged myself to drink only water—no sugary drinks!—for 30 days. After just one successful week, I decided to add another challenge: to cut back on the carbs I was eating. When I did eat bread, I switched to wheat bread and when I wanted rice, I used brown rice."

"Healthy fats are totally underutilized by individuals trying to shed body fat," says Matarazzo. "You have to reduce calories to get rid of body fat, but you don't want to cut out healthy fats completely." Fats take longer to break down in your stomach and help control blood-sugar levels, leaving you more satisfied and reducing your cravings. Include avocados, fatty fish, olives, nuts and seeds, and oils such as olive, flaxseed, and canola in your diet.
Did bikini season sneak up on you? Is your soon-to-be worn wedding dress still just a touch too tight? Did a last-minute invite for a beach getaway come your way? You're a lucky dog – and a panicked one too because you want to drop pounds, and fast. These 10 diets are likely to help you lose significant weight within a year, according to a panel of experts who reviewed 41 plans for the U.S. News Best Diets rankings. Just remember: Short-term weight loss is markedly different from long-term weight loss, which is more important for your health.
Too many tough days at the office or ongoing arguments with family members can sabotage your weight-loss efforts, says Jeremy Shore, C.S.C.S., a group education director for Matrix Fitness. When your body is stressed, your cortisol levels rise, telling your body to store fat for protection, says Shore. While that might be helpful in the Amazon, it's not going to save you from your boss's emails. Shore recommends deep nasal breathing to relax. "This directs air into the lower lobes of the lungs where there are a greater number of parasympathetic nervous system receptors—stimulating repair and recovery while calming the mind," he says. Inhale and exhale deeply from the nose, spending five to eight seconds on each inhale and five to eight seconds on each exhale. 
Every expert ever will tell you that crash diets don’t work, are unhealthy, and offer at best a temporary fix since you may end up gaining back more than you initially lost once you fall off the wagon. But that doesn’t mean losing weight has to be a slow, torturous process either. Yes, you’ll still have to eat few calories than you burn, but nutrition and exercise researchers have uncovered some scientifically tested ways to make that easier and faster than ever.
"These diets are so restrictive that of course you're going to lose weight fast because you're not eating enough calories to sustain basic activities of your body, let alone any exercise. That's nothing that any person can sustain for the long term," Hogan said. "The weight's going to come back if you do lose any weight, and then it's going to be harder to lose weight in the future."
A little garlic in your meals could mean a lot less weight around your middle. The results of a Korean study found that mice given a high-fat diet supplemented with garlic lost significantly more weight and abdominal fat than those who just ate fatty foods. Even better, they also improved their liver health, making it easier to stay healthy and burn off that excess fat in the long term. For more flavorful ways to make your food more enjoyable, turn to the 20 Spicy Recipes That Fire Up Your Metabolism and watch those pounds melt away.

In 2008 between US$33 billion and $55 billion was spent annually in the US on weight-loss products and services, including medical procedures and pharmaceuticals, with weight-loss centers taking between 6 and 12 percent of total annual expenditure. Over $1.6 billion a year was spent on weight-loss supplements. About 70 percent of Americans' dieting attempts are of a self-help nature.[24][25]
The plan promotes long-lasting, sustainable changes, and undoubtedly a bounty of research backs this up. In fact, one December 2013 study in the American Journal of Medicine shows that people following Weight Watchers were close to nine times more likely to lose 10 percent of their body weight, compared to people following a self-help diet plan. (20)

We all get by with a little help from our friends, and this is especially true of people who have lost weight and kept it off. In one study among women who went through a 12-week weight loss program, 74 percent of them maintained their loss or lost more in the three years after the program ended. Those who reported having a support system around eating well were more likely to keep the weight off. (Support around exercise didn’t seem to matter.) Another study found that the type of support you receive matters, too. Your friend who’s cheering you on isn’t likely to be as helpful as your friend who will pass on the fries when you’re trying to eat well. When you’re going out to eat, join friends who will support your healthy eating goals and go to a museum or movie with those who are less likely to be in it with you. Your pals who are in the trenches with you are more likely to hold you accountable, and that’s going to help you in the long run.
The Mayo Clinic Diet is the official diet developed by Mayo Clinic, based on research and clinical experience. It focuses on eating healthy foods that taste great and increasing physical activity. It emphasizes that the best way to keep weight off for good is to change your lifestyle and adopt new health habits. This diet can be tailored to your own individual needs and health history — it isn't a one-size-fits-all approach.
The success or failure of your diet plan ultimately depends on your compliance with the program. This is why it is important that you check the different features and services offered by each company. Some companies offer personalized diet plans that are designed to answer each client’s nutritional and weight loss need. Clients can even have the option of mixing and matching from the different sets of menus available.

Fiber is an indigestible carbohydrate from plant-based foods like bran flakes and strawberries that absorbs water and helps us eliminate waste as it travels through the digestive system. According to a review published in Journal of American College of Nutrition, fiber may increase satiety to keep you fuller longer and dietary fiber intake is associated with lower body weight. Mayo Clinic recommends that women should aim for at least 21 to 25 g of fiber a day, while men should aim for 30 to 38 g a day.

Sorry keto -- the Mediterranean diet is king. Endurance athletes and celebrities like LeBron James and the Kardashians have raved about the high-fat, low-carb ketogenic diet -- which was among Google’s most-searched terms this year. But Dr. Louis Aronne, an endocrinologist at NewYork-Presbyterian and Weill Cornell Medicine who runs the Comprehensive Weight Control Center, noted that the Mediterranean diet “is the only diet that has been proven in trials to promote weight loss and reduce the risk of heart attack, stroke and other cardiovascular diseases.” This meal plan includes using olive oil rich in healthy omega-3 fatty acids as your main cooking oil, and loading your plate with fruits and vegetables, whole grains and lean protein like fish and chicken, with the occasional piece of red meat. The American Heart Association recommends a similar diet that emphasizes whole, unprocessed foods, particularly fruits, veggies and whole grains, as well as low-fat dairy products, nuts and legumes, and non-tropical vegetable oils, while reducing salt, sugar and trans fats.
But the information that researchers are unearthing about the differences in the way that men and women lose weight inspires hope that the next generation of weight-loss advice will be more tailored and effective than the generic tips that have gotten Americans no closer to sliding into their dream jeans. (More than a quarter of Americans are obese, according to a May Gallup poll, a number that has been ticking upward for years). Although experts have long insisted that losing weight is simply a matter of burning more calories than you consume, they now say that it’s much more complicated than that.
Schedule a workout with a friend—you'll be less likely to skip out on it knowing that she is expecting you to show up. Or, use your workouts as "dates" where you can catch up with friends. "Every Wednesday, I take a Zumba class with the friends I met at Weight Watchers," says Michele August, who lost 117 pounds. "It's our weekly girls' night. We catch up, bond, and even enjoy a fun workout that burns a bunch of calories!" 
i love my breakfast, have no time for lunch. so when i find i have put on the pounds, i just go on my own type of fasts. I make sure i have my breakfast before 6am, i love my breakfast, i eat anything from the leftovers of the previous night but i make sure i have some coffee. after that i eat jut after 6 pm and if late befor 8pm, then nothing till next day just befor 6 am. works for me and in a week i drop two sizes and fit into my normal clothes. i have fat clothes upto size 12 and normal clothes.
If you are looking to kick start a new weight loss routine or conquer a diet plateau, try Dr. Oz's new two-week rapid weight-loss plan. By loading up on healthy food, like low-glycemic vegetables and small portions of protein, you can help curb your cravings and give your body a healthy start to the year. Plus, all of the meals can be automated and prepped, so you can drop pounds without spending a ton of time in the kitchen doing prep work. Read on to find out all the details!
In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[30] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[30] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[30]
Meal prepping takes a few hours a week, but it's worth it: By getting your meals ready ahead of time, you won't be so tempted to order your go-to Chinese takeout when you're tired and hungry after work. "When you plan an entire week of dinner in advance, you're way less likely to go off course and indulge in foods that aren't good for you," says Pamela Salzman, a certified holistic health expert and cooking instructor. And since you planned things out, you'll actually get the protein, fruit, and veggies your body needs — and you'll lose weight in the process.
Eat Breakfast Every Day. One habit that's common to many people who have lost weight and kept it off is eating breakfast every day. "Many people think skipping breakfast is a great way to cut calories, but they usually end up eating more throughout the day, says Elizabeth Ward, MS, RD, author of The Pocket Idiot's Guide to the New Food Pyramids. "Studies show people who eat breakfast have lower BMIs than breakfast-skippers and perform better, whether at school or in the boardroom." Try a bowl of whole-grain cereal topped with fruit and low-fat dairy for a quick and nutritious start to your day.
A 2012 study also showed that people on a low-carb diet burned 300 more calories a day – while resting! According to one of the Harvard professors behind the study this advantage “would equal the number of calories typically burned in an hour of moderate-intensity physical activity”. Imagine that: an entire bonus hour of exercise every day, without actually exercising. A later, even larger and more carefully conducted study confirmed the effect, with different groups of people on low-carb diets burning an average of between 200 and almost 500 extra calories per day.
Every expert ever will tell you that crash diets don’t work, are unhealthy, and offer at best a temporary fix since you may end up gaining back more than you initially lost once you fall off the wagon. But that doesn’t mean losing weight has to be a slow, torturous process either. Yes, you’ll still have to eat few calories than you burn, but nutrition and exercise researchers have uncovered some scientifically tested ways to make that easier and faster than ever.
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
An increase in fiber intake is also recommended for regulating bowel movements. Other methods of weight loss include use of drugs and supplements that decrease appetite, block fat absorption, or reduce stomach volume. Bariatric surgery may be indicated in cases of severe obesity. Two common bariatric surgical procedures are gastric bypass and gastric banding.[13] Both can be effective at limiting the intake of food energy by reducing the size of the stomach, but as with any surgical procedure both come with their own risks[14] that should be considered in consultation with a physician. Dietary supplements, though widely used, are not considered a healthy option for weight loss.[15] Many are available, but very few are effective in the long term.[16]
Tip #1: Eat nutrient-dense foods daily, like green smoothies, hearty salads, and bone broth. Green smoothies should be made of primarily leafy greens that are packed with vitamins and minerals, filling fiber, and raw food enzymes to aid digestion (add Future Greens for a boost to the flavor and nutrition). And the low, slow cooking of the bones of pasture-raised animals to make bone broth draws out the collagen, marrow, and other healing elements from the bones, including amino acids, minerals, glycine, and gelatin—which helps heal the gut, provide nutrients, and reduce inflammation.

Some people feel better supplementing the already active T3 (sometimes prepared from pig thyroid glands), as it can give a stronger effect than the T4 hormone, but its effect is often harder to control. Swedish healthcare rarely prescribes or offers such T3 treatment, as it often lacks advantages and may pose a risk when doses are high for an extended period of time.
These are very convenient if you don't have the time, energy or ability to plan for and prepare meals. A prepackaged food program gives you a no-hassle, no-brainer approach to dieting, but the best come at a cost. Even the least expensive prepackaged plans cost more than just buying your own food, and it can be difficult to find out the true cost until you actually commit. Still, if you can afford it, you get a nutritionally balanced, calorie-controlled eating plan with lots of support and no additional tools needed -- except a microwave oven, which are covered in a separate report.
"What I don't like about any commercial diet is that the focus is not on your actual food choices," Hogan said. "It's about calories or points or numbers, and that really takes away from your ability to be in tune with your hunger cues and your fullness cues and what you're really craving. If we become more in tune with those things, we naturally consume how much the body needs. Paying too much attention to numbers takes away from that."
Im an ER nurse who works 7pm-7am and going to school for my BSN. I have a hard time staying awake at work when its not busy so I eat and eat. Plus doing on like classes doesnt help especially when I sit at my computer and munch. Ive gained 60lbs in the last 8 years working this shift. I hate being this fat, Im uncomoftable and always tired. I have a hard time sticking to a diet. My husband who is 100lbs overwieght just cant loose weight either because he works from home and snacks at night. I think this diet would be the best for us. Just not sure we or I can keep it up. All I want us to do is be thin and healthy. We dont even go on family vacations becasue of our size. Help….
If you're a woman trying to lose weight and get fit, there's something you should know: It often takes longer for women to lose weight than men. And, if you've had a baby, you may have to factor in even more time. That said, women can do some things to speed up their weight loss. The following resources will help you learn more about how to maximize your cardio and strength training workouts, how to set realistic goals and how you can burn more calories.
The best diet is the one we can maintain for life and is only one piece of a healthy lifestyle. People should aim to eat high-quality, nutritious whole foods, mostly plants (fruits and veggies), and avoid flours, sugars, trans fats, and processed foods (anything in a box). Everyone should try to be physically active, aiming for about two and a half hours of vigorous activity per week. For many people, a healthy lifestyle also means better stress management, and perhaps even therapy to address emotional issues that can lead to unhealthy eating patterns.
It's a one-time investment you'll never regret. Here's why: Strength training builds lean muscle tissue, which burns more calories — at work or at rest — 24 hours a day, seven days a week. The more lean muscle you have, the faster you'll slim down. How do you start strength training? Try some push-ups or a few squats or lunges. Use your free weights to perform simple bicep curls or tricep pulls right in your home or office. Do these exercises three to four times per week, and you'll soon see a rapid improvement in your physique.
How much of a deficit? A 500 calorie a day deficit is sustainable for some while leaning down, but any deficit will do. A 1000 calorie a day deficit is aggressive and difficult to maintain. No matter what, don’t drop your calories below 1000 per day, even if you think it will lead to faster weight loss. You’ll be losing muscle at that point, and sacrificing your health and sanity. Not worth it.
Sometimes, to whip your body into shape, you have to get a little nutty. While nuts are high in fat, it’s that very fat that makes them such powerful weapons in the war against a ballooning belly. In fact, research from Reina Sofia University Hospital reveals that study participants who consumed a diet rich in monounsaturated fats, like those in nuts, over a 28-day period gained less belly fat than their saturated fat-consuming counterparts while improving their insulin sensitivity.
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