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This is often related to a condition known as abdominophrenic dyssynergia (APD), where the diaphragm and abdominal wall are not functioning in sync

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This is metabolic function

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Studies, such as the STEP 4 trial, have shown that while some individuals achieve substantial weight reduction, others may see more modest results due to a combination of factors, including baseline metabolic health, lifestyle habits, and adherence to dietary recommendations

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