Jose is trying to lose 100 pounds. He has greatly restricted his caloric intake but has lost only about 6 percent of his desired goal. Jose's limited weight loss is due, at least in part, to the fact that his dietary restriction led to a(n) .

decrease in his metabolic rate

Explanation:

There is usually a decrease in ones metabolic rate when there is low food intake or decrease in food intake. This happens because the body wants to conserve energy.

Age also plays a major role in metabolism.

Jose's problem peculiarity led to a decrease in His metabolic rate.

i think it's the first one because doctors aren't the ones who get rid of the old needles. most of them time it's not even doctors who give you shots, it's nurses.