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If there has been long-standing damage, this triggering might overwhelm the system, temporarily worsening symptoms

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This happens regardless of what weight loss method is employed, she said, pointing out a study showing that contestants of the TV show The Biggest Loser had decreased resting metabolic rates that persisted six years after the competition ended

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According to Kerry-Dene Ihlenfeldt, Clinical Director at IVBOOST UK, that shift reflects a broader change in how people think about fitness