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Patients with pre-existing conditions such as chronic kidney disease, heart failure, or those taking diuretics, ACE inhibitors, or other medications affecting electrolyte balance require particularly careful monitoring

Electrolytes help your body actually use that hydration

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Possible effects on energy balance and body composition: Some data suggest modest improvements in energy expenditure and preferential loss of fat mass versus lean mass, but appetite suppression is the dominant driver of weight loss

Funding This work was partially supported by National Institutes of Health NORC Center Grants P30DK072476, Pennington/Louisiana, P30DK040561, Harvard, and R01DK109008, Shape UP