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Lei M, Guo C, Wang D, Zhang C, Hua L

For others, the better first step may be medical weight loss, nutrition support, physical therapy, hormone evaluation, sleep assessment, or another form of care

If a patient is worried about muscle loss during weight loss, we first need to look at: Protein intake Total calorie intake Rate of weight loss Resistance training Body composition Overall medical health If the patients concern is a tendon or musculoskeletal injury, that is a different clinical conversation

This is where the work of organizations like the Pernicious Anaemia Society is so important in bridging that gap and advocating for a more empathetic, scientifically-grounded, and flexible approach to patient care