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Avoid unless your clinician specifically recommends it for a clear indication

When you lose weight, levels of ghrelin spike by nearly 23%, so youre hungrier after losing weight, which makes it hard to keep the weight off

If you live in a very hot and humid environment with no air circulation If your room temperature regularly exceeds normal indoor heat If the product label specifically instructs refrigeration Even in these cases, refrigeration is about comfort and protection , not boosting results

A significant correlation was observed between CAP and the degree of histological steatosis, both at baseline and at the end of treatment (Spearman coefficient Rs = 0.37