NORMAN SWAN: Huge difference DANIEL GRAY: It's a big difference
Rajitha P, Biswas R, Sabitha M, Jayakumar R (2017) Methotrexate in the treatment of psoriasis and rheumatoid arthritis: mechanistic insights, current issues and novel delivery approaches
While its true that cardio initially may burn more calories, which can support weight loss, muscle is much more metabolically active than fat
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Key clinical takeaways: Nutrition counseling focused on balanced macronutrients, fiber-rich whole foods, and controlled carbohydrate intake can improve glycemic control Moderate, pregnancy-safe physical activity (e.g., walking, resistance training, prenatal exercise) enhances insulin sensitivity and glucose utilization Combined lifestyle approaches may reduce the need for pharmacologic escalation and support healthier pregnancy outcomes Importantly, these interventions work best when they are individualized, monitored, and integrated into multidisciplinary prenatal care, especially for patients with additional metabolic risk factors
Grard, M