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Patients with pre-existing gastrointestinal conditionsinflammatory bowel disease, irritable bowel syndrome, or previous bowel surgeryshould maintain closer monitoring and lower thresholds for seeking medical input, as these populations may experience more pronounced or complex digestive effects

A personalized plan considers factors such as: Your age Your activity level Your schedule Your current eating habits Your food preferences Your stress levels Your sleep quality Your hormones Your weight loss history Your ability to remain consistent A successful Wellness strategy must be realistic enough to follow for months and yearsnot just for a few uncomfortable weeks

and convergence, model fit, and arm-level deviance were assessed in the Supplementary materials