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As metabolism slows, muscle mass and basal metabolic rate can decline, while hormones and sleep patterns also shift

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Photographs : Document your skin condition with photos to help track changes over time and provide visual information to your healthcare provider

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All participants received counseling (from qualified health care professionals, every 4-6 weeks, via in-person visits or telephone) to adhere to diet (500-kcal/d deficit relative to baseline estimated energy expenditure) and physical activity recommendations (150 minutes/week)

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