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As you lose weight, your basal metabolic rate (the calories you burn at rest) may decrease, and your body may adjust by becoming more efficient with energya phenomenon known as adaptive thermogenesis

This will override DND/NDNC.

Topline European medical officials advised patients taking GLP-1 weight loss and diabetes drugs who will be sedated for an upcoming surgery to warn their doctors about their medication use to avoid the risk of a rare respiratory complication called aspiration, a connection several other medical organizations have looked into in the past

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Gastrointest Endosc 71(1):19

This is a serious condition that requires medical attention