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It is the plan that helps the patient lose weight, preserve muscle, improve metabolic markers, and function well enough to build lasting habits

This must be done at the start and longitudinally, through the treatment

And what I've learned working with patients is if you take away the easily enticed eater and they don't have to count calories all the time, and they can start eating healthier because they're not driven to eat, they have the psychological and mental bandwidth to start tackling these other phenotypes that they have been unable to conquer, because they have the other ones under better control

And if you find yourself trying to cram a Ziploc full of kimchi into your spouse's bag, youve probably gone too far.