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Without dual-energy X-ray absorptiometry or imaging, we cannot say with precision how much of the weight change was fat versus water versus lean tissue

Added ingredients, differing sourcing, and uneven compliance could influence both safety and effectiveness

Many follow-up visits, lab reviews, dose discussions, and side-effect check-ins can be handled by televisit when appropriate

Energy management and activity pacing for ME/CFS Energy management and activity pacing are widely recognized as first-line approaches for managing ME/CFS, particularly following the 2021 update of NICE guidelines, which recommended activity pacing as the only management strategy for ME/CFS [172]