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J Endocr Soc 8(11):bvae164 Sammarco R, Marra M, Di Guglielmo ML, Naccarato M, Contaldo F, Poggiogalle E et al (2017) Evaluation of hypocaloric diet with protein supplementation in Middle-Aged sarcopenic obese women: A pilot study

Observational studies are included to provide evidence on effectiveness in broader, more heterogeneous real-world populations, to capture longer-term outcomes beyond typical RCT durations, and to assess safety signals that may be too rare to detect in RCTs

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