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This surfaces compliance issues so the provider does not blame the protocol for the patients pizza-on-vacation choices

doi: 10.2337/db13-0805 20 BalasBBaigMRWatsonCDunningBELigueros-SaylanMWangYet al

The maintenance phase requires as much intentional engagement with nutrition, activity, sleep, and medication adherence as the weight loss phase did. Part of the reason is biological