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Metabolically, despite insulin resistance and requiring 3 weeks to achieve consistent therapeutic ketosis, Case 3 lost 28.7 1bs/13.0 kg within 12 weeks, BMI decreased from 43.7 to 37.7 kg/m 2 , % body fat decreased from 52.2% to 48.9%, insulin resistance score decreased from 67 to 36, and hs-CRP decreased from 6.4 to 2.3

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Some women find that injecting at a time that places the peak GI side effects during sleep rather than during evening hours when intimacy typically occurs helps preserve their interest in sex