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The fact that these medications completely turn off appetite at higher doses and prevent people from not only eating but drinking water creates a danger that many do not realize
Weight loss that happens too fast may also cause muscle loss, including the muscles in the pelvic and abdominal area
Prevention Balanced diet with meat, fish, poultry, legumes, fortified grains Adequate tryptophan intake Mnemonic for Pellagra: 3 Ds of Niacin Dermatitis, Diarrhea, Dementia (4th D = Death if untreated)

Stumpf et al., 2008)

adults, a study finds