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These patients may display subtle metabolic abnormalities insulin resistance, dyslipidemia, or visceral adiposity despite appearing lean. Clinical markers such as waist circumference, hepatic imaging findings, and elevated liver enzymes (ALT/AST) should prompt further evaluation even when BMI is below 25 kg/m

Lifestyle modifications, including a balanced diet and regular physical activity, are the cornerstone of pediatric obesity prevention

The second cohort included patients with a diagnosis of polycystic ovary syndrome (PCOS) recorded during or before the study period

How does that change the experience for the patient, and who is the ideal candidate