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also takes into account whether the program focuses on long-term lifestyle changes or if it requires changes that may be difficult to sustain, such as reliance on packaged foods or supplements Sustainability score: considers the cost, guidelines, and available professional or peer support to determine how realistically the diet can be maintained long-term Whole body health score: considers whether the diet sets unrealistic goals or makes exaggerated weight-loss claims

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Some peptide therapies may be compounded and are not FDA-approved medications