John has a BMI of 35 and is desperate to get it down to at least 25. He is trying a low-sugar,low-carbohydrate diet. John is likely to have difficulty losing weight while dieting because

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Fat tissue can be maintained by fewer calories than can other body tissues, so John may need to reduce calorie intake even further to lose weight. Additionally, while a low-sugar, low-carbohydrate diet can be effective for some individuals, it may not be sustainable or effective for everyone. Maintaining a consistent calorie deficit through a healthy and balanced diet and regular exercise is often the most effective way to achieve and maintain weight loss.

John Has a BMI of 35 and Is Desperate to Get