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Heavy meals, dehydration, and sudden diet changes can also make stomach side effects or glucose swings harder to interpret

Huang X, Sun T, Wang J, Hong X, Chen H, Yan T, et al

Sleep quality directly influences hunger-regulating hormones, including leptin and ghrelin, and poor sleep has been shown to blunt the effectiveness of both dietary and pharmacological weight management strategies

Within these constraints, McGowan et al

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