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The patients who achieved the best results combined their medication with a structured nutrition plan emphasizing adequate protein intake (critical for preserving lean muscle mass during weight loss), regular physical activity including resistance training, proper hydration, and consistent sleep

PubMed CrossRef Rodriguez PJ, Gratzl S, Goodwin Cartwright BM, et al

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These steps address the underlying cause (dryness and dehydration) rather than treating itching as an independent symptom

95% CI 0.38 to 0.99