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This is the central unresolved question in the field and it is not answerable from most published work, because the controls needed to answer it are frequently absent
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Many patients also notice psychological shifts: reduced food noise, clearer eating habits, and sustainable portions that feel natural rather than restrictive
Sensitivity analyses included BMI 30 kg/m populations, subgroup stratification by clinical characteristics, and negative control outcomes to assess residual bias
Active adults with chronic joint pain: shoulders, knees, lower back
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