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In a controlled study cited in the same review, participants who slept 5.5 hours per night lost less fat and more fat-free mass than those who slept 8.5 hours per night. The authors reported that sleep curtailment decreased the proportion of weight lost as fat by 55% and increased the loss of fat-free body mass by 60%. Poor sleep has also been linked to increased hunger and changes in appetite-regulating hormones

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Several factors can influence the amount of weight one can lose while taking semaglutide

A basic multivitamin is a reasonable floor for many people on reduced intake, but it is not a substitute for correcting a confirmed deficiency