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Patients routinely fly into Charleston to be evaluated by COEM and to enjoy this beautiful city, which is a Cond Nast and Travel and Leisure Top Domestic and International Tourist Destination

These symptoms progress gradually, but if untreated, could be permanent

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Someone carrying extra weight who still runs half marathons, with normal blood sugar, normal labs, and good energy, has what the commission calls preclinical obesity: a state worth watching, with elevated future risk, but not necessarily one that demands aggressive treatment today