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then reassesses as needed

For many, shame and stigmanot lack of knowledge or effortare the real barriers to change

The most common challenges we see include not eating enough protein, struggling with nausea or food aversions, losing muscle mass alongside fat, and difficulty knowing what and how much to eat with reduced appetite

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However, some patients report cramping, likely due to indirect factors such as electrolyte disturbances or rapid weight loss rather than direct drug effects