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When the body is at a lower weight, and you are no longer on the medication, your brain and body prioritize storing fat and see the decrease in calories as a sign of distress, which can mean you may still gain weight even if you continue habits you began while on medication, such as eating smaller portions

10.3390/ijms24097836 38 TalbotA

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Reference Vaz, Frdric M., and Ronald JA Wanders

MASH: metabolic dysfunction-associated steatohepatitis