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But I have gained twenty or thirty pounds over the last few years and nothing I do makes a dent. That is a classic picture of metabolic resistance, and it is often tied to hormone shifts that happen in midlife

This is especially concerning for: people with existing gut problems people with gastritis or ulcers people who already struggle with low appetite or nutrient deficiencies The Less Discussed Metabolic Risk When food intake drops too aggressively, several things can happen metabolically: protein intake becomes inadequate micronutrient intake drops muscle mass can decline resting metabolic rate may slow over time fatigue increases hormonal balance becomes more fragile This matters deeply for long-term weight maintenance

Eisert RM, Andreeff M , Eisert WB, Melamed MR

Your provider will consider this number alongside other health factors during your consultation

Is your protein intake adequate