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10.1111/dom.12352 8 BellG

Stop or switch in consultation with your prescriber if any of the following appear despite hitting the 7 rules above: hand-grip strength drops more than 10% from baseline, you cannot climb one flight of stairs without significant fatigue, a 6-month DEXA shows more than 25% of total weight loss as lean mass, or you are losing more than 1.5% of bodyweight per week despite eating 1.6 g of protein per kilogram

Author contributions JH: Conceptualization, Supervision, Writing original draft, Writing review & editing, Funding acquisition, Methodology, Validation

Even if small amounts transfer, infant digestive enzymes would break down the molecule before absorption

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