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Qualitative research consistently shows that individuals with obesity often report long-standing experiences of devaluation or exclusion, contributing to shame-based self-representations and defensive patterns such as withdrawal or minimization [82,83,84,85]

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Under physiological conditions, the adult heart primarily relies on fatty acid -oxidation for energy production, with glucose oxidation serving a supplementary role

There was an increased risk of gastrointestinal disorders, hypotension, syncope, arthritic disorders, nephrolithiasis, interstitial nephritis and drug-induced pancreatitis

Lage SL, Amaral EP, Hilligan KL, Laidlaw E, Rupert A, Namasivayan S, et al