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Losing muscle mass and strength can lead to sarcopenia [age-related involuntary muscle loss], which increases the risk for functional decline, disability, nursing home placement, and death. Strength training and a protein-rich diet can help reduce loss of muscle and bone, but shedding pounds quickly may inhibit the bodys ability to adjust, Batsis notes
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energy intake
Patients who titrate too quickly may feel nauseous and reduce food intake unsustainably, while those who titrate too slowly may miss the medication's peak appetite-suppressing window
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