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The reason is weight loss, and its impact on one sleep disorder in particular
doi: 10.1111/j.1476-5381.2012.01971.x 32 IsacsonRNielsenEDannaeusKBertilssonGPatroneCZachrissonOet al
Significant visual changes
The sudden loss of fat cells reduces the appearance of fullness, which results in a gaunt appearance with an overall loss of facial smoothness
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