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Persistent bad breath that doesn't improve with brushing
2013, 304 (6): C508-518

If possible, use tools like bioelectrical impedance or periodic DEXA scans to determine whether your weight loss comes from fat or muscle

Regular exercise, adequate sleep, and a balanced gut microbiome modulate the incretin pathway, which directly affects metabolic health and weight management
The real risk here is that big improvements in overall health and appearance can distract from a progressive joint disease thats quietly getting worse in the background
