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10.1111/dom.14725 28 YangZ.LvY.YuM.MeiM.XiangL.ZhaoS.et al (2022)

Now I wake up every morning stunned at what my brain came up with." - u/DreamlandOnTirz These arent nightmares, per se - just dreams with heightened clarity , color, and emotion

This is not just a matter of individual health

The PA requires a confirmed T2DM diagnosis, recent HbA1c, and typically a prior metformin trial or documented contraindication

What we aim for instead: A plan that survives: Travel and dinners out Work deadlines Family schedules Plateaus (which are normal) In practice, consistency beats intensity

A STEP 1 extension found approximately two-thirds of lost weight was regained within a year (Wilding et al., 2022)