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Support groups, virtual or local, have been shown to improve compliance by another handful of percentage points. Meal Tracking Preferences Programs differ significantly in how they handle food: some emphasize calorie or macro counting, some use points or color systems, and others lean on portion sizes, journaling, or more intuitive approaches

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A key strategy is "lifestyle modification", involving changes in diet and exercise, which was shown in both the US Diabetes Prevention Program (DPP) and the Finnish Diabetes Prevention Study (DPS) to reduce the incidence of type 2 diabetes by 58% [5, 6]

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