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What to Expect in Months 7-11 Essentially no side effects: Appetite suppression continues (desired effect), but GI symptoms gone Weight loss velocity slows: From 0.8kg/week (months 3-6) to 0.3-0.5kg/week Plateau around week 40-48: Weight stabilizes, no longer losing despite continued medication Total weight loss: Average 20-24% from baseline (matching or exceeding surgical outcomes) Focus shifts to maintenance: Accepting current weight, preventing regain Plateau frustration: Not a side effect but an emotional challenge 2 Final Strategies for Months 7-11 20

In this study, we show the inadequacy of the reductionist paradigm, and, at the same time, illustrate the superiority of the systemic paradigm centered on psychoneuroendocrineimmunology (PNEI)

Thyroid Benefits of Selenium Supplementation Selenium Supplementation and Hashimotos Research suggests that selenium supplementation for people with Hashimotos is associated with a reduction in TPO antibody levels, improved thyroid ultrasound features, and improved quality of life

B12 deficiency in pregnancy may negatively impact the babys development and lead to failure to thrive and other complications (Rizzo et al., 2016)

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Microbial compounds selectively induce TH1 cell-promoting or TH2 cell-promoting dendritic cells in vitro with diverse TH cell-polarizing signals