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Exercise, social connection, sleep hygiene, and stress management all contribute to the psychological transformation

Research has shown that individuals with obesity already carry a higher baseline risk of B12 deficiency, and layering a GLP-1 medication that causes fatigue on top of that creates a perfect storm for energy depletion

10.1111/dom.12246

Diabetes: A1C level is 6.5% or higher

For the 15% threshold, while differences were less pronounced, 86.5% of engaged participants had not reached this target by month 5, compared with 93.5% of nonengaged participants ( P =.02)
