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any insight from your experience (or anyone else's) would be greatly appreciated

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People who think they are getting enough protein are frequently hitting only 40 to 60 grams daily, which is well below the threshold for muscle preservation during active weight loss

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Diagnosis can be made with a combination of studies (send out labs for most folks): plasma free & total carnitine, plasma amino acids, urine orotic acid, plasma acylcarnitines, urine organic acids, comprehensive metabolic panel, creatinine kinase, and a lactate level

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