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Magnesium-based osmotic laxatives (such as magnesium hydroxide or milk of magnesia) offer an alternative, though they should be avoided in patients with significant kidney disease and used cautiously in older adults due to potential magnesium accumulation

Greig, C., Finch, K

Sustainable weight care focuses on long-term health rather than just numbers

Losing significant muscle mass while losing weight can leave you lighter on the scale but metabolically worse off, a phenomenon researchers call "metabolically obese, normal weight." Your pants fit better, but your metabolism runs slower, your blood sugar control deteriorates, and you have less energy for daily activities

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However, Koska et al