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If people lose weight without following a decent dieet protecting their muscle mass, they risk: A slower metabolism through muscle loss Brittle bones Lack of micronutrients Greater fatigue Rapid weight regain once medication is stopped In other words, the drug can dampen food noise but unless you build a foundation of muscle, nutrition, and habits, the weight will be back

doi: 10.2131/jts.34.501

(2013) Short term improvement of migraine headaches during ketogenic diet: a prospective observational study in a dietician clinical setting