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A muscle-preserving weight-loss strategy may include: Medical history review Weight and body-composition goals Nutrition planning Protein guidance Resistance-training recommendations Metabolic lab review Hormone and thyroid considerations when appropriate Medication review GLP-1 education Peptide therapy discussion when medically appropriate Ongoing monitoring and adjustment This type of care is especially important for patients who have: Insulin resistance Prediabetes Type 2 diabetes Menopause-related body-composition changes Low energy Low muscle mass A history of repeated dieting Thyroid concerns High stress Poor sleep Prior weight regain Concerns about rapid weight loss For these patients, a generic weight-loss plan is rarely enough

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Symptoms include sudden shortness of breath, chest pain, rapid heart rate, lightheadedness, and coughing up blood

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