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However, rapid or substantial weight loss can also lead to skin laxity, facial volume loss, and changes in skin quality

only 43% of participants met the lower end of this g/kg/day recommendation

This is exactly why medical supervision matters we screen for risk factors before prescribing and monitor throughout treatment

A good candidate: Has loose or hanging thigh skin Is at stable weight Is nicotine-free Understands scars are part of the exchange Has time and support to recover Patients who should wait: Active nicotine users Unstable weight Uncontrolled medical conditions Timing matters