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A small change in lean mass on a scan may be less concerning than a patient who reports: New falls or near-falls Progressive weakness Difficulty getting out of a chair Reduced walking tolerance Inability to perform usual daily activities Persistent dizziness or dehydration Severe appetite loss Inability to consume adequate nutrition Loss of training capacity Rapid, unplanned, or poorly tolerated weight loss These are not simply body-composition issues

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The program also allows flexibility for individuals interested in intermittent fasting or time-restricted eating patterns, although these approaches are optional rather than required