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It is a mix of behavior and biology, but I would say it leans heavily toward biology. When you lose weight, the body employs a number of defense mechanisms

Garczorz W, Gallego-Colon E, Kosowska A, Kych-Ratuszny A, Woniak M, Marcol W, et al

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The abdomen can show the most visible extra skin and changes in muscle tone

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Diagnosis of actual gastroparesis requiring clinical intervention remains rare across millions of GLP-1 users globally