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Zhang SQ, Deng Q, Zhu Q, Hu ZL, Long LH, Wu PF, et al

While weight loss often improves blood pressure, the stress of an appointment or minor dehydration can cause temporary fluctuations

The prolonged effects of stress are transmitted long after the trauma or stress ends, indicating that allostasis, or cellular reprogramming that alters basal cellular functions in response to an environmental challenge, has occurred

What that looks like in practice: some people notice shifts in energy and how their body composition responds before the scale moves much, since the goal is metabolic, not just water weight