In clinical practice, zero patients had to stop treatment due to concerns about muscle loss when fasting was used therapeutically.

“how many patients have I had to stop because I was worried about muscle loss that would be like zero right in six years and because I use it in a therapeutic manner that is I'm not treating one person weak sort of thing right it's like every person who comes in every 10 minutes I'll say this is what can he do this wish he need to so it's just part of my clinical practice so it's like hundreds of patients a year and over six years it's like thousands of patients like zero people had to stop because I was worried about muscle loss right”