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What Is Happening Beneath the Surface As we age, the body gradually loses muscle mass and strength, even in people who remain active.Research shows that muscle mass begins to decline from middle age at around 1% per year, and can accelerate to nearly 1% per year by age 75 with severe cases resulting in a loss of up to 50% of muscle mass by the 8th or 9th decade of life, particularly when the body becomes less responsive to the muscle-preserving effects of physical activity and nutrition.As this happens, muscle fibers naturally shrink and strength declines, which can make everyday movement feel slightly more effortful

Nutritional Guidance (Keto Diet) A low-carb (20g or less per day), high-protein, and high-fat diet helps to promote ketosis, a process of efficient fat burning and stable blood-sugar levels

This helps reduce bleeding risk and avoids problems with sedation or anesthesia

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2.2.1 Berberine Berberine, an alkaloid derived from plants of the Berberidaceae family, is found in several traditional Chinese medicinal herbs, including Coptis chinensis, Phellodendron amurense, Stephania tetrandra, and Uncaria rhynchophylla