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Data Availability Statement The data that supports the findings in this study are available from the corresponding authors upon reasonable request.

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Reporting an additional E/M service code (e.g., 99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional

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Potential mild effects reported include: Digestive changes in the first few days Mild headaches (often related to dehydration or low electrolyte intake) Transient muscle soreness as fat oxidation increases Frequently Asked Questions Q: Does it replace a healthy lifestyle

Clinical evaluations and lab tests help us see if the treatment is effective and if we need to make changes