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Whats more, the visceral fat around your organs releases signals that raise low-grade inflammation and make insulin less effective, setting up a vicious cycle: Less muscle and more visceral fat leads to more inflammation, worse insulin sensitivity, and easier fat gain around the middle

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Skin discoloration may look red on light skin and brown, purple or grey on darker skin

Cells 8 , 395 (2019)

That may include lab review, physician evaluation, lifestyle coaching, and consideration of whether additional interventions are needed if weight loss plateaus or if other health concerns are involved