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These proportions are generally consistent with expected lean mass loss during caloric restriction achieved through other methods, suggesting GLP-1 agonists do not uniquely accelerate muscle catabolism beyond what occurs with equivalent weight loss from dietary intervention alone

Chronic stress can also lead to changes in eating habits and digestive issues, which in turn can affect vitamin B12 status

Active cancer treatment, autoimmune disorders, and severe electrolyte imbalances also need medical oversight

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