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A more complete plateau, when the scale essentially stops moving, typically arrives between 12 and 18 months for most patients, though a small proportion will continue losing weight for up to two years

Weight reduction is already an important component of migraine management for patients with elevated BMI, he says

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Eat a balanced, plant-based diet rich in fruits and vegetables (eg, a Mediterranean-style diet) Include heart-healthy foods like extra virgin olive oil, cold water fish, and fiber-rich whole grains Exercise regularly Get adequate sleep (duration and quality) Build healthy social networks Do not smoke Limit or avoid alcohol intake What Nutrients May Counteract Atherosclerosis

We monitor labs at 3 and 6 months after starting, then annually