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10.3390/molecules27041432 63 Hoyer-FenderS
Naltrexone earns the recommendation for drinking because it has done the work to prove it, and that is exactly the standard you want behind any treatment you rely on
"So if you're putting outsized effort into making sure that you're metabolically healthy, you're not only reducing your risk of diabetes and fatty liver disease and all these other things, but you're also reducing your risk of cardiovascular disease, cancer, and dementia." To assess this, Attia suggests tests, like a CPET, which shows how your heart and lungs respond to exercise and measures metabolic flexibility
Curr Hepatol Rep 15 , 134139, (2016)
Change in adipocytokines and ghrelin with menopause
This framing reinforces the idea of obesity as some sort of moral failing, not as the result of a confluence of societal and contextual factors food deserts where people only have access to highly processed, high-calorie foods, infrastructure that prioritizes cars over walking or biking, lack of safe spaces to exercise, jobs that dont allow employees to care for their own health and the chronic stress of living in a society with a scant social safety net
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