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Akshima is actively involved in educating people about the importance of good dental health

Behavioral intervention involved counseling by a dietitian or equivalent healthcare professional every 4 weeks through in-person visits or telephone sessions, focusing on adhering to a reduced-calorie diet (500 kcal deficit per day compared to estimated energy expenditure at randomization) and increased physical activity (encouraging 150 minutes per week, such as walking), with daily recording (via diary, app, or other tools) reviewed during counseling sessions

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4 This is the same vagal circuit that Samsoms pramlintide study implicated: the gastric-emptying delay is a brain-to-stomach command relayed down the vagus, not a peptide throttling the pylorus directly