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Emerging evidence highlights a range of contributing factors, including reduced mechanical loading, increased bone marrow adiposity, hormonal and endocrine alterations, nutritional deficiencies, and disruptions in energy metabolism

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Consider temporarily limiting foods that may contribute to gas and odor, particularly during dose titration periods: High-protein foods like red meat and eggs, which contain sulfur-containing amino acids Cruciferous vegetables (broccoli, cauliflower, Brussels sprouts, cabbage) Allium vegetables (onions, garlic, leeks) Dairy products , especially if you have lactose intolerance Some legumes that may cause gas in certain individuals Processed foods containing preservatives like sulfites Carbonated beverages that introduce additional gas Sugar alcohols (sorbitol, mannitol, xylitol) found in sugar-free products, which can ferment in the digestive tract These nutritious foods need not be eliminated entirely, and individual tolerance varies considerably