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These cycles can typically be repeated 23 times annually , depending on your personal goals, such as: You dont need a lab every weekbut you should track: Optional labs: IGF-1, CRP, fasting insulin, testosterone/estrogen panels Within 12 weeks for sleep and recovery
The resulting catastrophic energy deficit is a primary physiological driver of post-exertional malaise (PEM) or 'crashes,' where even minor, everyday activities trigger a disproportionate and prolonged exacerbation of profound fatigue, muscle weakness, and cognitive impairment
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bariatric surgeons Juan Cendan, M.D., and Robert Rout, M.D., we studied surgical and behavioral interventions, medications including metformin and fenfluramine-phentermine, and gastric stimulation devices
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