placebo on the time to occurrence of a composite cardiovascular outcome (nonfatal myocardial infarction, nonfatal stroke, cardiovascular death, hospitalization or urgent visit due to heart failure) and a composite renal outcome (end-stage kidney disease, 40% sustained decline in eGFR, cardiovascular death or renal death) in 10,000 individuals with atherosclerotic cardiovascular disease and/or CKD
Gradual tapering also helps distinguish true hunger from habit-driven eating, making the transition clearer
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Some patients notice improved energy within weeks
A slight backward tilt is sufficient
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