This plateau is physiologic (metabolic adaptation) and does not indicate treatment failure
Foods to prioritize and foods to avoid Prioritize: fatty fish (salmon, sardines, mackerel), eggs, full-fat dairy if tolerated, avocado, olive oil and coconut oil, beef and lamb, dark meat poultry, nuts and seeds in moderation (watch carb counts), low-starch vegetables (leafy greens, broccoli, cauliflower, zucchini, asparagus), and bone broth for both protein and electrolytes
You were never weak
Expand access to methadone treatment: remove barriers to primary care practitioners prescribing methadone
This remodeling involves enhanced lipid oxidation, reduced inflammation and fibrosis, and restoration of adipose metabolic flexibility