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American Association of Clinical Endocrinologists and American College of Endocrinology Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity Endocrine Practice 22(Suppl 3) 2016PMID: 27219496 PubMed 5 Grunvald E, Shah R, Hernaez R, et al

Without sufficient protein intake and the presence of anabolic signals, the body will also break down lean tissue, including muscle, to meet its energy needs