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25 Concerns regarding the validity of outcomes have emerged, particularly owing to the reliance on indirect indicators such as the calcitonin test, carcinoembryonic antigen measurement, or vandetanib treatment to distinguish between MTC and non-MTC

Nature medicine, 25(7), 10961103

I was also 89 kgoverweight for me

Changes in body composition (such as absolute reduction in fat-free body mass) are usually regarded as secondary outcomes, and in clinical practice, they may not be adequately matched with muscle-preserving support measures such as protein intake or resistance exercise

It's most common in people who have had surgeries that remove or bypass large portions of the stomach, such as gastrectomy or gastric bypass surgery
