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The key is identifying the cause early and adjusting the treatment plan when appropriate. Dr
Liang B
Although cortisol production and bioavailability are increased in both SAM and obesity, the underlying mechanisms diverge sharply and the physiological outcomes are disparate muscle wasting in the former and exacerbated weight gain in the latter [79, 80]
Looking at one month results and before and after comparisons provides realistic expectations, though individual variation is substantial
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