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HARRISON, N.Y. — Stuck in a rut with weight gain and lacking motivation to stop it, Cari turned to Pat Hall and her Harrison business, Can’t Lose Diet, in a desperate, and perhaps final, appeal for help.

Cari, who requested not to use her last name, heard Hall’s promise about losing 20 pounds in 40 days. “I wondered, ‘Is this real,’’’ Cari said.

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