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Without concurrent attention to muscle maintenance, bone health, and long-term lifestyle change, patients risk losing critical lean mass and regaining weight as mostly fat, which can ultimately worsen joint pain, weaken bone density, and compromise recovery

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instead of a smooth, consistent flow of traffic, cars (food waste) may start and stop sporadically, creating backup, congestion, and bursts of rapid movement

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35 Biguanides: Metformin reduces the FPG and A1C and has been proven to be safe by trial evidence, showing only mild gastrointestinal (GI) effects and no serious adverse effects