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They have to be accounted for they have to be Looked at as, yes, these people are putting in the work and no, this is not a calories in calories out methodology that will work for them and they need help

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When insulin cant do its job effectively, the body compensates by producing more of it, driving blood sugar higher and triggering excess androgen (male hormone) production

The lemon adds flavor and vitamin C

Alcohol speeds up gastric motility and irritates the stomach lining, creating a direct conflict with the drug's mechanism