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That reduces total caloric intake significantly, and a large, sustained deficit is a well-established driver of lean tissue loss regardless of what created it

Kim J, Kundu M, Viollet B, Guan KL

Approach: 1.0g protein per kg body weight daily Standard multivitamin with iron (if male, iron-free if ferritin is above 100) 2,000 IU vitamin D daily Baseline labs before starting, repeat at month 6 Follow standard retatrutide titration No topical interventions needed unless shedding begins Expected outcome: Minimal to no noticeable hair changes

Fructan, rather than gluten, induces symptoms in patients with self-reported non-celiac gluten sensitivity