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Often reflects a normal metabolic shift during weight or calorie changes Can last longer while the body adjusts to energy use May relate to low blood sugar or reduced fluid intake Sometimes linked to anemia or thyroid function Existing health conditions can increase temperature sensitivity Lab checks may be considered if symptoms continue Talking to a doctor helps figure out if its part of normal changes or something else

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[Preprint] (2025)

Months 612: Long-Term Progress and Maintenance Many patients continue losing weight throughout the second half of the first year, although the rate of weight loss often slows compared with the earlier months

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