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Rapid weight loss without proper diet and exercise can mean not just fat loss, but additional muscle loss a risk factor for falls and loss of function

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The study protocol was approved by the medical ethics committee of the Maastricht University Medical Center+, the Netherlands and was in line with the Helsinki Declaration of Human Rights (identifier: NL73600.068.20/METC 20033)

Ethical Approval No patients were involved in the study, which was not submitted for approval by an ethics committee or institutional review board