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Maintenance area Why it matters What to track Medication plan Dose changes can affect appetite and fullness Clinician follow-up, side effects, hunger changes Protein Helps support fullness and lean mass Protein at each meal, strength progress Fiber Helps meal volume, digestion, and satiety Fruits, vegetables, beans, whole grains, tolerance Resistance training Helps preserve muscle and function 2 or more strength sessions weekly when appropriate Daily movement Prevents quiet drops in energy expenditure Steps, walks, active breaks Sleep and stress Affects cravings and consistency Sleep duration, evening eating, stress triggers Monitoring Catches regain early Weekly weight trend, waist, body composition Maryland Trim Clinics weight loss maintenance program is designed for people who have completed a weight-loss program, patients transitioning off medications like GLP-1s or appetite suppressants, and those who need long-term accountability and support

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TXNIP downregulates V-maf musculoaponeurotic fibrosarcoma oncogene homolog A (MafA), a transcription factor to drive insulin expression, and thus negatively regulates insulin expression 25

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