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Patients should be encouraged to prioritize nutrient-dense foods and ensure adequate protein intake (typically 1.2-1.6 g/kg of ideal body weight daily during active weight loss, with higher amounts for those engaging in resistance training)

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Heterogeneity was moderate (I 2 ~5060%) and attributable to factors like age (larger differences in younger children) and regional sun exposure, but the direction of effect was consistent across diverse settings