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Collagen fibers in younger skin are intact, dehydrated, elastic and damage-resistant (69)

These adaptations, sometimes called "metabolic adaptation" or "adaptive thermogenesis," make weight regain biologically likely without continued intervention

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If the numbers were to continue the way they are now, Williams said, we may want to consolidate into one of our hospitals in the city. Outside of Philadelphia, Penn has bariatrics programs at Lancaster General Hospital and Penn Princeton Medical Center

However, our clinical experience shows that these symptoms usually subside as you reach a metabolic steady state