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Total daily energy expenditure has declined over the past three decades due to declining basal expenditure, not reduced activity expenditure

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Annals of the New York Academy of Sciences, 1457(1), 2640

Toxins 13(3):204

And the data on discontinuation is sobering: participants in the STEP 1 trial extension who stopped semaglutide regained two-thirds of their lost weight within one year 16