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They lose more weight, have more significant improvements in weight-related co-morbidities, and the results are more durable

She is board-certified in general pediatrics and board-eligible in pediatric endocrinology, with specialized expertise in caring for children and adolescents with obesity, insulin resistance, PMOS (formerly PCOS), prediabetes, Type 2 diabetes, and other complex metabolic conditions

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This means: Even small weight loss or poor eating for a few weeks can reduce muscle and strength