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Image: IPGGutenbergUKLtd/Getty Images About the Author Julie Corliss, Executive Editor, Harvard Heart Letter About the Reviewer Eric G

Some people describe it as walking on pebbles. Shoe fit issues: Shoes that used to fit perfectly may begin to feel too big

A person may feel that his or her skin is exhausted, and spots are not removed even after living a healthy lifestyle and staying hydrated

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Most clients feel appetite changes within the first couple of months, and from there, the progress continues at a steady, comfortable pace