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Clinical Best Practices: Patient Evaluation and Selection Conduct a thorough medical history, including comorbidities such as diabetes, cardiovascular disease, kidney disease, pancreatitis, gallbladder disease, etc

It also doesn't help that one NP/PA that I occasionally have the displeasure of dealing with doesn't listen and assumes to know best

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She also survived bone cancer

Muscle preservation during caloric deficit requires a mechanical stimulus that tells the body "these muscles are being used, do not break them down for energy." Without that signal, up to 40% of weight lost can come from lean tissue rather than fat

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