If you're fat due to crappy diet (like I was), the best way back to health is ketosis and fasting.

All natural, free, and effective.

The fasting part is like taking one's body through purgatory. It involves some suffering, but the desired end result -- restoration to health -- makes it all worthwhile.

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In other words, PoW cannot be cheated. You either put in the work or you don't, shortcuts like Ozempic do more harm than good.