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Science (2017) 357(6358):141620

The chills are accompanied by a fever or other signs of illness

It also allows for a more personalized treatment plan and helps determine which medications or therapies may be most appropriate

A maintenance plan may include: Continued follow-up visits Adjusted medication strategy Protein and resistance-training goals Monitoring weight trends before regain becomes significant Revisiting sleep, stress, alcohol, and nutrition habits Lab monitoring when appropriate A plan for travel, holidays, plateaus, and life disruptions Long-term success depends on building a system that can be maintained in real life