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For years, options were limited to basic dietary changes or early-generation metabolic therapies

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BMI 30: You qualify if you also have heart failure with preserved ejection fraction (a type of heart failure where the heart pumps normally but the muscle is stiff), uncontrolled hypertension (blood pressure above 140/90 despite taking two blood pressure medications), or chronic kidney disease stage 3a or above

I definitely let myself eat more things I shouldnt over the holidays and the SP Cleanse helped me get back on track with eating healthy again