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Unconjugated bilirubin accumulation in the body can be caused by increased bilirubin activity, diminished liver excretion, or increased enterohepatic circulation of the pigment

This is often when the first measurable visible changes begin to emerge

From Overwhelmed to Empowered: How I Lost 210lbs and Found My Confidence In December of 2020 I was at my lowest point weighing in at 469lbs, I had tried everything except Weight Watchers