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Watching the scale number daily creates unnecessary psychological noise around a process that is, by every metric, working when the protocol is followed

Metabolic effects of prolactin Neurohormonal appetite regulation Prolactin plays a significant role in the neurologic regulation of appetite and satiety ( Figure 3 )

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These collective findings support the view that PEM is not the result of a singular pathological process, but rather a dynamic network imbalance driven by the interplay of mitochondrial dysfunction, immune activation, and neuroinflammation, with distinct predominant mechanisms emerging across patient subtypes

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