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Pre-publication history The pre-publication history for this paper can be accessed here: Acknowledgements Written consent was obtained from the statutory person in charge of the patient for publication of this case report

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Aging Cell 22 (7), e13832

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Newer observational work highlights that physical activity and dietary intake are strongly associated with fat-free mass preservation during weight loss, reinforcing that lean loss is not destiny but a modifiable outcome [38]

Social Withdrawal: Isolating from friends and family, avoiding social activities, and losing interest in previously enjoyed activities