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doi: 10.1016/s1474-4422(03)00585-4

Additionally, metabolic adaptations that occurred during weight lossincluding decreased energy expenditure and hormonal changes that favor weight regainbecome more apparent once the medication's counterbalancing effects are removed

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We start with Food First: Fermented foods (kimchi, sauerkraut, plain yogurt, kefir) for natural probiotics Prebiotic-rich foods (garlic, onions, asparagus, bananas) to feed good bacteria Bone broth and collagen-rich foods to support gut lining integrity Supplement Support: Metagenics UltraFlora Spectrum A broad-spectrum probiotic containing Lactobacillus rhamnosus, Lactobacillus plantarum, Bifidobacterium breve, and Bifidobacterium lactis to support gut health, digestion, and immune function while on Accutane