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The ability to photograph meals creates a visual record that may reveal portion size changes or food tolerance issues related to delayed gastric emptying

Meta-regression was carried out to explore the possible sources of heterogeneity, such as the baseline degree of obesity involved above ( Statistical analyses were performed using Stata version 160 (Stata Corp, College Station, TX, USA) and R software (version 413)

doi:10.1038/s41380-018-0116-3 Van Doren J, Arns M, Heinrich H, Vollebregt MA, Strehl U, S KL

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this can also manifest as decreased energy levels, further impacting sexual desire