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Adopting a balanced diet rich in whole grains and lean proteins, combined with regular resistance training, helps preserve progress and stabilize metabolism

Additionally, the use of a fixed 300 kcal mixed meal for all patients may have been suboptimal for older or larger adolescents, potentially contributing to the attenuated incretin responses observed over time

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However, case series using DXA monitoring show that people who prioritize protein intake and resistance training can dramatically reduce or even eliminate lean mass loss while still losing substantial fat

But remember that these things are complicated, and multifactorial