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this is how medications work, Yanovski says

Nature medicine , 31(3), 951962

We expect this to trend down as visceral fat decreases, since visceral fat is itself a driver of chronic inflammation

All that said, you can probably avoid the decline in thyroid by picking one day a week and eating your fill of carbs

We werent measuring it. That line resonated with me because it changed how I think about every patient who loses weight, whether through surgery or medication