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If you want to stay off food noise long-term, you need either: A maintenance protocol (staying on low-dose GLP-1 or stacking alternatives) Addressing the underlying drivers (sleep, meal timing, food environment, stress) Accepting that complete discontinuation requires a period of readjustment The good news: the brain adapts

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Proper duplex ultrasound evaluation includes assessment of both reflux and obstruction in the deep, superficial, tributary, and perforating veins with precise mapping of abnormal pathways, identification of sources of reflux, accurate documentation of all target vessels to be treated [11, 12]