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Because muscle drives metabolic rate, its loss makes weight regain more likely

Earlier work framed food noise as heightened food cue reactivity, meaning the brain over-responds to reminders of food, whether thats an advert, a smell, or simply walking past the kitchen

Aetna typically requires BMI 30 with a comorbid condition (like hypertension or sleep apnea) or BMI 35 without comorbidities, plus documented diet and exercise failure