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Patients follow strict rules for several months, achieve some success, and eventually return to old habits because the plan was never realistic long term

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Nutritional approaches emphasizing whole foods, adequate protein, and limited ultra-processed foods support overall metabolic health, though no specific diet directly lowers cortisol in a clinically meaningful way

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4,5 Current upper limits of normal for ALT levels have been set by individual laboratories and range from 30 to 50 U/L in studies conducted over the past 10 years