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Importantly, binge episodes are not driven by hunger but rather they are driven by urges, emotions, or psychological distress

Skipping Meals or Eating Too Little Very low calorie intake slows metabolism, increases stress hormones, and may lead to plateaus
Addressing the link between obesity and PsA offers an opportunity to reduce PsA prevalence and improve its management by promoting weight loss, a modifiable risk factor[38]

Insulin-like growth factor 1 and 2 (IGF1, IGF2) expression in human microglia: differential regulation by inflammatory mediators
