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The pathogenesis of sarcopenia is complex and multifaceted: the chronic catabolic condition, increased energy expenditure, reduced appetite, side effects of multiple therapies, alterations in circulating levels of hormones, low protein synthesis, and the presence of ascites or portosystemic shunts are all factors contributing to muscle atrophy in cirrhotic patients [23]

Skiing accidents in Whistler, hockey collisions in Toronto rinks, cycling mishaps on the Bow River pathway, or simple falls on icy Edmonton sidewalks all lead to the same frustrating prognosis: wait it out

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Here is a realistic timeline based on clinical observations: A few things to keep in mind

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