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The people I see in clinic with the fatty liver, the high pressure, the type 2 sugar. Almost none of them got there from one bad month. It builds quietly. Years of eating past full, and slowly the body stops hearing its own signals. Then the fat itself starts causing trouble. It’s living tissue, it stays active, and it interferes with leptin, ghrelin, insulin, the hormones that are meant to tell you when you’ve actually had enough. So you stay hungry even after a full plate, you eat a bit more,

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