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After 812 weeks on a medically guided protocol: Photos are not mandatory , but tracking body metrics like weight, circumference, or DEXA scans can help validate results

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Verhoef P, Stampfer MJ, Buring JE, Gaziano JM, Allen RH, Stabler SP, Reynolds RD, Kok FJ, Hennekens CH, and Willett WC (1996)

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