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Food aversions: Many people develop sudden aversions to foods they previously enjoyed - often meat, eggs, or dairy

Conditions such as hypothyroidism, polycystic ovary syndrome (PCOS), or severe insulin resistance can significantly slow progress

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Potential side effects of GLP-1 medications (nausea, vomiting, constipation, and fatigue) can complicate smoking cessation by adding additional stressors during the withdrawal period

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The Royal College of Psychiatrists emphasises that body image concerns warrant psychological intervention rather than metabolic manipulation