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Extended use isnt well-studied in humans, so most experts recommend cycling it, typically 48 weeks on, followed by a few weeks off, to support safety and effectiveness.

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Cut sugars and processed carbs (usually the #1 most important thing) to stabilize insulin and curb hunger and cravings

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Its a powerful, evidence-based tool that can help people achieve lasting weight loss and improve or even reverse chronic conditions like diabetes, high blood pressure, acid reflux and sleep apnea, says bariatric surgeon Scott Schimpke, MD