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MS patients were matched for educational status, pre-morbid intelligence, disability, disease duration, and extent of white matter damage as assessed by T2 lesion load (42)

3) Build a maintenance plan before stopping This may include: high-protein diet calorie awareness strength training daily walking sleep correction reducing ultra-processed foods regular weight monitoring 4) Plan follow-up after stopping You may need: weight check every 24 weeks initially sugar monitoring HbA1c follow-up review of hunger, cravings, and weight trend 5) Consider alternatives if needed Some patients do better with: dose reduction rather than abrupt stopping switching to another medicine restarting if rapid regain occurs combining with a structured obesity program Who May Need Long-Term Treatment

Sesame's streamlined process eliminates long waiting periods often associated with traditional healthcare models

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It also catabolizes protein from lean tissue, especially when protein intake is insufficient or physical activity declines

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