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They are typically part of a long-term treatment plan that includes dietary changes, physical activity, and regular medical monitoring

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6.5.2 Skeletal health Skeletal complications in PDM arise primarily from chronic inflammation, malabsorption, and vitamin D deficiency, and their evaluation and management are consistent with existing gastroenterology and endocrinology guidelines

It calls itself an anti-diet, though some feel it promotes toxic aspects of diet culture

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