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Gallbladder events (gallstones, inflammation) affected 1.4% of participants, which is expected with any rapid weight loss regardless of method

Circulating hormones were measured via ELISA (MesoScale Discovery, total GLP-1 and PYY assays, UK) at the Core Biochemical Assay Laboratories, Cambridge, UK

Weight loss plateaus often coincide with reduced movement, especially if initial energy improvements have normalized

There are many signs and symptoms of deficiency, most of which are related to impairments in collagen production or not consuming enough antioxidants