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Furthermore, throughout the treatment, patients may experience other symptoms, such as nausea, vomiting, lack of appetite, hormonal fluctuations, sleep disturbances, alterations in taste, and changes in skin color (Rana et al., 2017

doi: 10.1002/adma.201707624 53 LvJALiuYWeiJChenEQinLYuY

19 Meal Replacements : Meal replacement shakes can be an effective way to meet protein and calorie needs when appetite and desire for food is diminished

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The gut microbiota has been associated with various aspects of human health, including metabolism, gut homeostasis, brain behavior, and immune development [54]