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As a female-led, boutique practice, care is provided in a calm, private setting at our Maui office, where recommendations are guided by physiology, lifestyle, and patient priorities rather than urgency

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Both are being discussed and in some cases sold online, raising serious patient safety concerns

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Most robust Akkermansia studies involved doses of 10 billion CFU daily, with weight loss effects in human trials described as modesttypically 1-2 kilograms over three months