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Many studies are pre-clinical (animal models) or small human trials making it harder to generalize to broad populations, especially those with complex sleep disorders such as sleep apnea or chronic insomnia

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"Someone with a resting heart rate of 50 bpm, a high HRV, and years of training experience is often highly attuned to subtle changes in their physiology," Grosicki told me

But, Martin said, sustaining those results requires sticking with lifestyle changes like adjustments to diet and exercise that she began even before her weight loss surgery