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The significant increase in the number of overweight people observed in recent decades therefore essentially reflects the overconsumption of food, possibly due to the omnipresence of industrial foods that are extremely attractive because of their organoleptic properties (palatability) and which lead to excessive energy intake

Ethics statement The studies involving humans were approved by the Ethics Committee of Istituto Superiore di Sanit (protocol code PRE-726/16 on 8/20/2016)

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One strength of the prospective Johns Hopkins study is that patients were enrolled during acute Lyme disease and followed over time