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Hiddemann W, Andreeff M , Blumenreich M, Clarkson BD

Thus, normal weight patients may have a CVR similar to that of overweight individuals if their fat mass is predominantly visceral and/or they have a small amount of muscle mass (sarcopenia)

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These shifts can feel unusual, but they are typically part of the adjustment phase

Robert Kushner: It likely does, although it doesn't take away the physical exam and signs and symptoms and doing blood tests