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Treatment decisions should always be based on confirmed diagnosis rather than temporary changes

Efficacy and safety of prolonged water fasting: a narrative review of human trials

A 4% drop in absolute LBM accompanying a 12% drop in body weight gives roughly 20% of weight loss as 'lean tissue.' Batsis reports closer to 35% and as Langer makes clear later in this piece, the gap between those numbers is partly explained by what DXA actually counts as 'lean