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He reached his goal weight again, but this time he maintained muscle mass, improved energy levels and avoided debilitating side effects

Such alterations have been noted in individuals with type 2 diabetes, obesity, and metabolic syndrome, though the precise mechanisms remain an active area of research

Oxford: Clarendon Press

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Experts in the field have flagged these concerns, too

Conversely, depression may increase the risk of developing T2DM due to a sub-optimal lifestyle, activation of the immune system, and an imbalance of neurotransmitters [76]