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They are deeply rooted in complex, measurable physiological disruptions, including severe mitochondrial dysfunction, rampant oxidative stress, and fundamentally impaired energy metabolism

Patients frequently report: Preference for bland foods Reduced meat intake Reduced fat intake Reduced portion size of protein foods Nutrient density may decline if diets shift toward: Refined carbohydrates Snack foods tolerated in small quantities Low-protein convenience options This pattern increases vulnerability for: Iron Zinc B vitamins Magnesium Protein adequacy The risk is behavioural rather than pharmacological