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doi: 10.3390/ijms20205160 103 O'ReillyAMCurrieRWClarkeDB

Concepts such as identity lag or ghost fat, where psychological self-perception lags behind physical change, have been documented in both surgical and pharmacological contexts [70, 71]

The Molecular Signatures Database (MSigDB) hallmark gene set collection

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I would argue that your starting point is what matters most