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The reason I say that is not because of the efficacy data, because the efficacy was pretty similar across both trials

Eating smaller, more frequent meals (5-6 times daily) prevents the stomach from becoming too full or too empty, both of which can trigger nausea
You've likely reached maintenance when your weight stabilizes over 2 to 3 weeks at the same dose, your appetite-suppressing effects feel sustainable, and side effects are minimal or manageable

In American Spinal Injury Association Impairment Scale (AIS) A or B patients, the abundance of lactobacillus is higher, and in AIS C or D patients, Bacteroides, Faecalibacterium, Lachnospiraceae are more abundant (Yu et al., 2021)

Comparative effectiveness of bariatric surgeries in patients with obesity and type 2 diabetes mellitus: a network meta-analysis of randomized controlled trials

142.Ziegler R, Heidtmann B, Hilgard D, et al