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Overnutrition and obesity cause a switch in the resident immune cells to an inflammatory phenotype with increased secretion of pro-inflammatory cytokines such as tumour necrosis factor alpha (TNFα), IL-1, and IL-6 [30]
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Spencer Nadolsky , a board-certified Family Medicine Physician and a Diplomate of the American Board of Obesity Medicine, to break down the science, clear the stigma, and share practical strategies to help coaches navigate this shift with confidence
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