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It typically relates to active digestion from eating too close to bedtime, anxiety or racing thoughts from hormonal changes, or residual GI discomfort that prevents relaxation

Measurements, progress photos, strength numbers, and how clothing fits provide better feedback than the scale, which may remain relatively stable while significant fat-to-muscle ratio improvements occur

We reported it following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidance [21]

Supports Immune Function May help support proper immune system function, including lymphocyte activity