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Conflict of Interest The authors declare that they have no conflict of interest

Rapid weight loss Losing weight quickly can sometimes cause tiredness as your body adjusts

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Based on the company's published membership pricing and discount structure, a patient on a program with a stated $20 monthly discount would mathematically offset the annual membership cost in under eight months, assuming pricing and participation remain unchanged

The authors recommend classifying such patients as highrisk

Orexigenic neurons, which stimulate appetite, produce neuropeptide Y (NPY) and agouti-related peptide (AgRP)