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Its a powder with no taste and is best taken 1-2 scoops (3-6 grams) with water in the morning on an empty stomach (alongside your probiotic)

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After initial rapid loss (often 5-10 pounds in the first month, much of which is water weight), the rate of loss slows as metabolic adaptation occurs

SIRT1 SIRT1 is an essential protein required for activation of autophagy (Owczarczyk et al

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A second opinion from another primary care physician or specialist may yield a different outcome, particularly if the refusing doctor reasoning was not clinically specific to your situation