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Use body composition, symptoms, nutrition, medications, and labs together instead of relying on one marker

Hormone-sensitive lipase (HSL) mediates the conversion of TAG into glycerol and FFAs (thick arrow) for subsequent release into the bloodstream (dashed arrows)

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The nature of gastric bypass surgery means that a portion of the small intestine is bypassed, which forces the body to undergo neuroendocrine changes and absorb fewer nutrients from food consumed

Some protocols use an extended break matching the cycle length (8 weeks on, 8 weeks off)