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These medications work by reducing appetite, increasing feelings of fullness, and slowing digestion, which helps decrease calorie intake and promotes sustainable weight loss

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Focus areas: Increase protein target to 1.4 to 1.6 grams per kilogram Consider adding a calorie-dense protein shake (protein powder blended with nut butter, banana, olive oil) to ensure minimum caloric intake Increase resistance training to three sessions weekly if tolerated Add magnesium glycinate 200 to 400 mg at bedtime if not already supplementing Monitor body composition if possible, not just scale weight At this dose, the people who struggle most are those who have not established the nutritional and exercise foundations recommended at lower doses

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