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However, because dietary groups differed prior to intervention, the study cannot fully disentangle prebiotic effects from those attributable to the pre-existing diet
Ask about hormonal context: discuss menopausal status, contraceptive use, and pregnancy plans before initiating agents with systemic metabolic effects
Obesity and lipid stress inhibit carnitine acetyltransferase activity
Weight loss is complex and influenced by biology, hormones, metabolism, sleep, stress, and lifestyle, not just willpower
Gut microbiome, liver immunology, and liver diseases
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