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Some people simply respond better to one amino acid than the other due to differences in metabolism, enzyme activity, and overall health status

This coordinated physiological response reduces hunger, increases fullness, and notably, appears to diminish the cognitive preoccupation with food that characterizes food noise

Some patients regain weight after stopping treatment, especially without continued nutrition, activity, and lifestyle support

Unintentional weight loss beyond expected (more than 2% body weight per week sustained): Possible inadequate caloric intake due to severe nausea

Finally, there's the overall metabolic recalibration