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Rate control: Calcium channel blockers (e.g., diltiazem, as started in his case) and beta blockers are both options
Prioritize sleep hygiene and maintain consistent sleep-wake schedules to complement melatonin effects
GLP-1 receptor agonists like semaglutide reduce appetite and promote weight loss, but approximately 25-30% of weight loss can come from lean muscle tissue if proper countermeasures aren't taken
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