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Paper Notes Limitations This was an observational study, meaning it cannot definitively prove cause and effect

Screening and Article Selection Two independent researchers screened titles and abstracts of all retrieved studies based on the eligibility criteria

Avoid skipping meals, extreme calorie restriction, and very low-fat diets, all of which increase bile stasis and stone formation

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In clinical trials, many participants reported that improvements in blood sugar control, blood pressure, and energy levels felt more impactful than the weight loss itself