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Solutions Track multiple metrics: measurements, photos, strength numbers, not just scale weight Schedule body composition testing (DEXA or equivalent) every 8-12 weeks Set process goals (hitting protein targets, training consistency) rather than only outcome goals Compare photos from 3+ months apart rather than weekly Remember that sustainable progress compounds over time Challenge: Social Eating Situations Reduced appetite can make social situations involving food awkward

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This reporting obligation would flip the FDAs oversight from a system based on complaints and inspections to one informed by a data-driven map of where large-scale compounding is actually occurring

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J Clin Invest 101(6):13341341