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This is an observational study, not a randomised trial, and the authors caution against basing treatment recommendations on these data, without further confirmation

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Optimization requires: Fiber plus phytonutrients to activate gut-derived hormones Optimal protein, specific amino acids for muscle and metabolic repair Digestive support for motility and nutrient absorption Daily hydration + electrolytes Structured sleep architecture Stress-pattern recalibration Resistance training to activate GLP-1, GIP, and CCK signaling Metabolic “pit stops” — optimally resourcing (total nutrition, hydration, movement, stress reduction, or recovery)