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Description

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Worsening metabolic disease from regain increases healthcare utilization, medication costs for diabetes and cardiovascular conditions, and potential surgical interventions

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Ethics declarations Conflict of interest Kohzo Takebayashi, Yurina Iemura, Mototaka Yamauchi, Takafumi Tsuchiya and Shigeki Machida have no conflicts of interest to declare

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I took several breaks, got derailed, had some ups and downs, but I always came back to it

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