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The trade-off

Take one action today: look at tomorrow's meals and identify one place to add a protein or fiber source

Staying at a lower dose longer is a legitimate clinical strategy and often produces better tolerability with only modest reduction in weight loss speed

Patients with high A1c often achieve only about half the weight loss predicted for non-diabetics

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Thus, we have helped many patients with arthritis and/or metabolic disease, with very promising results
