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However, this is usually costly

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doi: 10.1097/QAI.0b013e3181cbdaff 124 FalutzJMamputuJCPotvinDMoyleGSoulbanGLoughreyHet al

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Many employers report concerns about out-of-pocket costs: 47% of firms offering health benefits indicate that their employees have a high or moderate level of concern about the affordability of cost sharing in their plans

On top of that, your body becomes more efficient at using energy, a process called adaptive thermogenesis