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Self-monitoring strategies include paying attention to changes in exercise tolerance, noting any progressive worsening of fatigue despite adequate rest, and observing physical signs such as increased pallor or brittle nails

Blood glucose self-monitoring is required

Nadeau, MD , a board-certified endocrinologist

Expected 12-month results include 15 to 22% body weight loss (50 to 75 pounds for a 300-pound person), 5 to 8 inch waist circumference reduction, major improvement in mobility and physical function, and often dramatic improvement or resolution of obesity-related health conditions including sleep apnea, fatty liver disease, and joint pain

Eat smaller meals