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Simon Cork, a senior lecturer in physiology at Anglia Ruskin University, and an expert on the physiology of body weight regulation also commented on the results: Importantly one of the decisions by the UK health service to limit to 2 years was because of questionable long term cost effectiveness

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Instead, by promoting weight loss and improving metabolic health, it removes chronic stressors that keep cortisol elevated, allowing cortisol levels to normalize over time as metabolic stability improves

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