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Ethical approval The study was approved by the Institutional Review Board for Clinical Research Committee (IRB) of Mansoura University with the approval code R.22.10.1897.R1 and with the IRB committee, Al Yousif Hospital, Alkhobar, Saudi Arabia, (AYH IRB: 02/03/2023)

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Antonoff MB , D'Cunha J

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lactose free, gluten free, no added sugar

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During weight loss, the body reduces its resting metabolic rate as an evolutionary survival mechanism

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