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Even when lab values appear normal on medication, many patients still struggle with: Slowed metabolism Insulin resistance Increased fat storage Chronic inflammation Fatigue that limits physical activity These factors create a perfect storm where calorie restriction backfires, muscle mass declines, and weight loss stalls

In parallel, we observed a decrease of LC3B-II conversion, suggesting that the afatinib-induced increase in REDD1 was required for TSC1/mTOR-mediated autophagy