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It doesnt distinguish muscle from fat, and it doesnt account for waist circumference, which is a better predictor of metabolic health in most people than BMI alone 3

The portal blood contains toxic materials absorbed in the intestine, and therefore the liver is the first tissue to be exposed to toxic substances that have been absorbed through the gastro-intestinal tract

Also, weight-bearing exercise strengthens bones, making them denser and stronger

Gombart AF, Borregaard N, Koeffler HP

Comparative efficacy of amitriptyline, duloxetine and pregabalin for treating fibromyalgia in adults: an overview with network meta-analysis