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Finally, the sustainability of this combined approach is questionable

All included patients had completed at least 6 months of treatment

Typical medications that might interact are diabetes medications like insulin or sulfonylureas, some antibiotics, blood pressure medications, and medications that slow stomach emptying, such as opioids or anticholinergics

Intensify physical activity to counteract metabolic adaptation

The initial VLEKT phase often results in pronounced weight loss due to reduced glycogen stores and accompanying water loss, which may serve as a psychological motivator, encouraging continued adherence to the dietary regimen [134]

A successful weight management plan requires a comprehensive evaluation of all factors affecting weight and a personalized treatment plan that includes dietary strategy, physical activity, behavioral modifications, and other components tailored to the individual, she explains