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About the only time I can tell is when my meal did not contain enough calories or if there was way to much fat then I feel nauseous and sluggish.
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I agree with seeking a second opinion or if possible look to doctors in the US I know it is not that expensive here. You have made it so far don't give up on just one quote you can find a way to make it happen! You have done amazing work and you are worth the effort to find more reasonable prices for the surgeries :)
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I like my Fitbit, though I have not started adjusting my calories due to it, it helps motivate me to do more when I see I have been sedentary during the day and I feel awesome on the days I complete more than my goal.
