Week one is your free consultation: a medical exam, your health history, and a BIA body-composition test that tells us how much fat, water, and muscle you are starting with
Corticosteroids promote: Fat redistribution , causing central (truncal) obesity and the characteristic "cushingoid" appearance with prolonged use Fluid retention , leading to weight gain that may not reflect true fat accumulation but can be discouraging Muscle protein breakdown , reducing lean body mass and potentially lowering metabolic rate Insulin resistance , making weight loss more difficult The magnitude of these effects is generally dose- and duration-dependent
Nonetheless, reduced side effects at lower doses make it likely there are also reduced therapeutic effects
Food and Drug Administration) for the risk of thyroid tumors or thyroid cancer, including medullary thyroid carcinoma (MTC)
Dietary and lifestyle modifications are typically the first-line approach: Eat smaller, more frequent meals rather than large portions Avoid lying down for at least two to three hours after eating Elevate the head of the bed by 1520 cm if nocturnal symptoms are present Reduce or avoid known reflux triggers such as fatty or spicy foods, caffeine, alcohol, and carbonated drinks Maintain a healthy weight, as excess abdominal weight increases intra-abdominal pressure Pharmacological management may also be appropriate in some cases
Many researchers overestimate the information that standard purity tests provide while underestimating the gaps that remain even with favorable results
