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[DOI] [PubMed] [Google Scholar] Glass 1961 Glass GB, Skeggs HR, Lee DH, Jones EL, Hardy WW

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Other risk factors include older age and higher melanin levels (darker skin pigment), which can reduce vitamin D production from sunlight

This is a legitimate concern that requires proactive management

A person might lose 30 pounds and look modestly different in clothing, but internally, the reduction in visceral fat has transformed their metabolic health