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They also cited long-term costs and the difficulty of measuring outcomes (38 per cent), the impact of cost-control measures on health insurance premiums (38 per cent), medication adherence (25 per cent), immediate costs (25 per cent) and recommendations from brokers, consultants and pharmacy benefit managers (25 per cent)

10.1093/pcp/pcs096 81 MonostoriI.HeilmannM.KocsyG.RakszegiM.AhresM.AltenbachS

The reduced payoff makes even the most crave-inducing unhealthy foods less desirable, and as a direct result, makes a person less likely to want to indulge in foods that would contribute to weight gain