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Strengthening the core is not just about getting a flatter stomach or visible abs

Visceral fat is metabolically active in the worst way, secreting pro-inflammatory cytokines that drive insulin resistance

Furthermore, current one-size-fits-all approaches lack specificity, as they are poorly targeted to the heterogeneous types of dysbiosis observed across different ICU patients and phases of care (Lee et al., 2025)

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Practical steps if you take thyroxine or other thyroid replacement If you are on levothyroxine or another thyroid medicine, follow a simple checklist: 1

However, if the side effects are persistent, reach out to your doctor