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This isn't a willpower issue

Tier 2 and Tier 3 weight management services provide intensive support Dietetic input : Specialist dietitians can develop individualised plans accommodating Crohn's-related dietary restrictions whilst achieving caloric deficit Psychological support : Cognitive behavioural therapy and motivational interviewing address eating behaviours and emotional factors Physical activity programmes : Tailored exercise plans considering Crohn's-related fatigue and extra-intestinal manifestations Bariatric surgery represents the most effective long-term weight management intervention for severe obesity

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( Epub 20080101 )
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10.1371/journal.pone.0097554 38 KristensenS
Everything about this program has been great so far, and Im hopeful and excited to keep going
