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A stronger letter of medical necessity with additional clinical justification can make a difference at this stage

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I emphasize this in Weightless , where I walk patients through how to fuel their bodies in a way that supports long-term metabolic health rather than short-term restriction." Step 5: Plan for Adjustments Over Time "We need to reframe plateaus: they aren't failures

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This reduction in portion size is the primary driver of the caloric deficit needed for weight loss , and seeing it happen so naturally in the first week provides many patients with the confidence to continue their journey