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Recent studies have shown, however, that new adipocytes may differentiate from fibroblast-like preadipocytes at any period of life and the development of obesity in adults is accompanied by increased numbers, as well as increased size of adipocytes
doi: 10.1007/s00125-006-0510-2

Read Metabolic Flexibility : How to Train Your Body to Switch Between Carbs and Fat
doi: 10.1111/j.1365-2826.2012.02364.x, 85 LaFataE

For decades, the FDA approves drugs with little to no testing or studies in older adults, much less complex older adults with comorbidities

Which medication is more effective for weight loss, Zepbound or Wegovy