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Clinical and observational data describe: Modest reductions in body fat percentage over typical protocol durations (often 36 months) Preservation or modest gains in lean body mass Reductions in visceral adipose tissue, as measured in some imaging-based studies Subjective improvements in recovery and sleep quality Realistic magnitude

This condition involves too much fat in the liver and is often linked to excess weight and insulin resistance

However, the beginning of direct-to-consumer advertising and other modern technological advancements, the rising costs of delivering health care, and the reduced time doctors have to examine patients have altered the traditional dynamic of the doctor patient relationship, causing Americans to take a more active role in their health care decisions than in the past

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doi: 10.1007/s12672-018-0342-9