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This means keeping trigger foods out of your home, establishing social support networks that reinforce healthy choices, managing stress through outlets other than food, and ensuring adequate sleeptypically 7-9 hours nightlysince sleep deprivation directly increases hunger hormone ghrelin and decreases satiety hormone leptin

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There was a consistent reduction in pain using the WOMAC pain subscale and about 15% of patients reported being pain free by the end of the trial

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If you track weight change, percent body-weight change is more useful than pounds alone