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If you're also being treated for diabetes, thyroid issues, or heart disease, a weight-loss-only clinic often isn't talking to those other providers

It typically results in an average weight loss of about 8% of initial body weight over 56 weeks, increasing to over 11% with intensive lifestyle changes

Restoring those levels may reverse aspects of metabolic aging

The fungal acne concern with fermented ingredients mainly applies to yeast-derived ferments like Saccharomyces and Galactomyces, because those are in the same kingdom as Malassezia and could theoretically contain residual compounds that feed it

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