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Tell your doctor about all your current medicines and any you start or stop using, especially: insulin

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It also modulates metalloproteinase (MMP) activity and their inhibitors (TIMPs), influencing not just the production of new matrix but the breakdown and remodeling of existing tissue

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If a patient is worried about muscle loss during weight loss, we first need to look at: Protein intake Total calorie intake Rate of weight loss Resistance training Body composition Overall medical health If the patients concern is a tendon or musculoskeletal injury, that is a different clinical conversation