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Of these, 160 articles were excluded because they did not address thyroid autoimmunity, thyroid outcomes, GLP-1RAs, or relevant immunometabolic pathways

Individual results vary substantially

For instance, breasts are the first area where women lose weight, leading to a smaller cup size, while the stomach remains stubbornly round

Variants affecting dopamine reward, hunger signaling, and fat storage mean some patients feel hungrier, crave more, or regain fastereven on the same diet as a friend

Risk may increase when: Intake declines GI symptoms persist Dietary diversity narrows Evidence strength: Moderate plausibility