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The plan is: Protein-rich to preserve lean muscle mass Nutrient-dense for energy and metabolism Easy to follow with real food 3

Patients are often seen by a variety of health care providersin the emergency room, urgent care clinics, and pediatricians officesso the cyclic pattern goes unnoticed until a parent becomes concerned

Address singing voice use as well if a singer Discuss with the diagnosing specialist whether short-term use of cortisone is indicated (not the preferred first option but may be indicated if there is evidence of secondary vocal fold inflammation)

Most patients see a 5 to 8% total body weight loss over 12 months

Sometimes you need to start with a lower dose and titrate up in a way that fits the patient

The serious warnings matter