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To sustain weight loss and prevent major relapses, you need to implement and maintain long-term nutritional, physical, and behavioral changes

Maintenance therapy is given after induction therapy to help keep the myeloma from growing back

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A general finding is that obese patients fulfilling criteria for MetS together with low IGF-1 plasma levels tend to develop a worse cardiovascular disease outcome than those with mid-normal to high-normal IGF-1 levels [213]