As weight is lost, the body adapts (metabolically) and requires fewer calories to support a lower weight, Dawkins says
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Key lifestyle investments during treatment include developing a sustainable eating pattern that does not rely on appetite suppression, building strength training habits that preserve and build lean mass, addressing emotional eating patterns through therapy or structured programs, establishing sleep hygiene that supports metabolic health, and managing stress through sustainable practices
Spreading intake this way also removes the pressure of hitting a large bolus when you're simply not hungry enough to manage it
More serious but rare adverse events include pancreatitis, gallbladder disease, and thyroid C-cell tumours (patients should be advised to report symptoms such as neck mass, dysphagia or persistent hoarseness)
