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Without dual-energy X-ray absorptiometry or imaging, we cannot say with precision how much of the weight change was fat versus water versus lean tissue

PMID 19766714

Considered another way, sympathetic hyperactivation indicates that the inhibitory effects of the vagus and parasympathetic nerves have weakened, which may also be an important mechanism for developing obesity

But do they actually work, or are they just another health myth with no solid pieces of evidence