Once you’ve completed the 3 Day Military Diet plan, it’s best if you limit yourself to 1500 calories a day for the next 4 days. Other dieters follow the military diet 4 days off rule, which means that after 4 days of following a 1500 calorie diet, they do the 3 Day Military Diet again. So, what does a 1500 calorie diet look like? Here are some ideas for how you can plan your meals for your 4 days off:
You can use zero calorie seasonings to make your Military Diet meals a bit more appealing. Here are some suggestions: salt, pepper, lemon juice, garlic, ginger, cilantro, dill, hot pepper flakes, cumin, curry powder, turmeric, rosemary, sage, etc. Beware if you use items like mustard, soy sauce and garlic sauce, as they do contain a few calories, so you’ll have to be sure to compensate. Avoid using high calorie seasonings such as ketchup, mayonnaise, oils, etc.
The brain is composed of a network of neurons that transmit signals by propagating nerve impulses. The propagation of this impulse from one neuron to another is typically controlled by neurotransmitters, though there are also electrical pathways between some neurons. Neurotransmitters can inhibit impulse firing (primarily done by γ-aminobutyric acid, or GABA) or they can excite the neuron into firing (primarily done by glutamate). A neuron that releases inhibitory neurotransmitters from its terminals is called an inhibitory neuron, while one that releases excitatory neurotransmitters is an excitatory neuron. When the normal balance between inhibition and excitation is significantly disrupted in all or part of the brain, a seizure can occur. The GABA system is an important target for anticonvulsant drugs, since seizures may be discouraged by increasing GABA synthesis, decreasing its breakdown, or enhancing its effect on neurons.[7]
Con: Results can vary depending on how much fluid you drink. By drinking more water, you dilute the concentration of ketones in the urine and thus a lower level of ketones will be detected on the strips. The strips don’t show a precise ketone level. Finally, and most importantly, as you become increasingly keto-adapted and your body reabsorbs ketones from the urine, urine strips may become unreliable, even if you’re in ketosis.
She also says that cutting certain foods and drinks out of your diet point-blank, like soda, can be difficult. "While I’m no fan of sodas — they’ve have been linked to weight gain, and have no nutritional value — banning them without offering a substitute might backfire because people feel deprived. Deprivation can lead to rebellion and giving up on weight loss." Sticking to the meal plan is the hard part — but if you can do, you will lose a couple of pounds, the professor says. "If you actually follow it... then yes, you’ll certainly lose weight. You’re not going to lose 10 pounds of 'real weight' in 3 days though. If you lose 10 pounds, then most of it is water weight."

Say cheese! Adding some extra calcium to your diet could be the key to getting that flat stomach you’ve been dreaming about. Over just 12 months, researchers at the University of Tennessee, Knoxville found that obese female study subjects who upped their calcium intake shed 11 pounds of body fat without other major dietary modifications. To keep your calcium choices healthy, try mixing it up between dairy sources, calcium-rich leafy greens, fatty fish, nuts, and seeds.

"If your diet consists of lots of sports drinks, sugar-sweetened drinks like fizzy pop and flavoured waters, or sugary foods like chocolate and cakes, it will make losing weight harder. While whole fruits and vegetables are undoubtedly good for you, they can also sometimes cause weight gain if you eat too much, as they have high levels of natural sugars in them. Low-fat food options might have high amounts of added sugar in there too, so make sure to check the food label.


2. Ab Plank is a great exercise to really challenge your entire core and build up your strength and endurance. The Plank works the lower abdomens, the oblique muscles and your lower back. It takes focus and concentration plus some upper body strength. Start with holding the plank position for 30- 40 seconds and build your way up. You will be amazed at how strong your cores will get by doing this exercise regularly.

Simply take a good hard look at your diet, make a few modifications you can stick with and get your body moving. Not sure where you stand on diet? Write down everything you eat this week, then compare it to the list above and see where you could have made better choices. Don’t beat yourself up though, learning how to lose stomach fat fast is a process. Simply find areas to improve and work on them next week.


Wondering what fits into a keto diet — and what doesn’t? “It’s so important to know what foods you’ll be eating before you start, and how to incorporate more fats into your diet,” says Kristen Mancinelli, RD, author of The Ketogenic Diet: A Scientifically Proven Approach to Fast, Healthy Weight Loss, who is based in New York City. We asked her for some guidelines.

Starvation mode is when you restrict calories over a period of time and lose weight quickly, causing your body’s metabolism to slow down. This is a natural side effect of just about any type of weight loss. The less you weigh, the less body tissue your body has to maintain and so your metabolism may drop a bit. Think of it this way: if you carry a backpack up a hill, you burn more calories than if you walk up without a backpack. Extra weight that you carry, even if it’s some extra fat, causes your body to work harder and burn more calories. Another effect of starvation mode is that your body prefers to preserve fat and consume muscle in an effort to help you survive. However, the Military Diet minimizes the effects of the so-called “starvation mode” by including plenty of protein intake in the form of eggs, cottage cheese, tuna, meats and peanut butter. Research supports this strategy, saying that you can preserve both your muscle and metabolism while dieting. In addition, because the diet is only 3 days, after which you return to a more acceptable caloric intake, your body, muscles and metabolism won’t suffer too much.


No. Alcoholic drinks are high in calories. Save your cocktail for when you’re off the diet, or on the 4 days off. Even when you’re not on the diet, if you’re interested in maintaining your weight, you should avoid certain types of alcohol. For example, steer clear of sugary alcoholic drinks such as long island iced teas and margaritas. The sugar adds in a lot of calories that will promote weight gain. Instead, go for a gin and tonic or vodka with soda water and lime. Red wine is also a great choice. You should also try to lay off beer if you’re hoping to maintain or lose weight. If you’re really craving a beer, go for a dark beer like Guinness which is rich in antioxidants.
If you want to shrink your gut, get enough protein in your diet. In this case, about 25 percent of calories. Why? For starters, protein makes you feel full and helps you build muscle (which increases metabolism, thereby making it easier to lose weight). Just as important, high-protein diets have been shown to be the best way of attacking belly fat. In one study, published in the International Journal of Obesity, Danish researchers put 65 people on either a 12 percent protein diet or a 25 percent protein diet. The low-protein dieters lost an average of 11 pounds, which isn't bad. But the high-protein subjects lost an average of 20 pounds--including twice as much abdominal fat as the low-protein group.
I am gluten intolerant so couldn’t do this diet, as I couldn’t see any gluten free alternatives on the lists. I’m sure there are some, so I’d be interested to find out? Other than that… the diet isn’t something I would think of doing as a long term solution to losing weight. Once you finish the diet, then what? Of course you are going to go back to eating some what normally and then regain? Or that’s what I would imagine. I do like that this article seems to be unbiased and more of an informative piece, meaning you can make up your own mind rather than being ‘sold’ something. I guess if there was a special event you needed to lose a few pounds for it may be good, not sure that I would try it myself though.
What if someone told you that you could lose 10 pounds a week…while eating ice cream? Sounds too good to be true, right? That’s the alluring sell behind the Military Diet, a strict eating regimen that’s been sweeping the Internet over the past few months. The rules: Follow a rigid meal plan for three days, then do four days of maintenance and watch as the pounds “melt away” by the end of the week.
Our bodies are incredibly adaptive to what you put into it – when you overload it with fats and take away carbohydrates, it will begin to burn ketones as the primary energy source. Optimal ketone levels offer many health, weight loss, physical and mental performance benefits.1There are scientifically-backed studies that show the advantage of a low-carb, ketogenic diet over a low-fat diet. One meta-analysis of low-carbohydrate diets showed a large advantage in weight loss. The New England Journal of Medicine study resulted in almost double the weight loss in a long-term study on ketone inducing diets.
Whether or not the 3 Day Military Diet works for you really depends on your overall goals. If your goal is to lose a few pounds and lose them quickly, then it might work for you. However, if your goal is more long-term, like substantial weight loss or improving your overall health, this diet will not work for you. It is too restrictive to sustain for a long period of time to help you do more than jump start a large weight loss, and it doesn't have enough vitamins and nutrients to help you improve your health or reach your fitness goals.
Implementing the diet can present difficulties for caregivers and the patient due to the time commitment involved in measuring and planning meals. Since any unplanned eating can potentially break the nutritional balance required, some people find the discipline needed to maintain the diet challenging and unpleasant. Some people terminate the diet or switch to a less demanding diet, like the modified Atkins diet (MAD) or the low-glycaemic index treatment (LGIT) diet, because they find the difficulties too great.[41]
Generally speaking, it also depends on your size. If you are overly obese, by simply cutting down on junk food and moving your body a bit, you may drop 10 pounds in less than a week easily without causing a health problem. However, for someone who is only slightly overweight or within the normal range wanting to slim down a bit, this is not healthy or sustainable. You may lose weight; but the pounds will creep up again when you stop the diet.
In terms of weight loss, you may be interested in trying the ketogenic diet because you’ve heard that it can make a big impact right away. And that’s true. “Ketogenic diets will cause you to lose weight within the first week,” says Mattinson. She explains that your body will first use up all of its glycogen stores (the storage form of carbohydrate). With depleted glycogen, you’ll drop water weight. While it can be motivating to see the number on the scale go down (often dramatically), do keep in mind that most of this is water loss initially.
"The glycemic index (GI) factor is a ranking of foods based on their overall effect on blood sugar levels. The diet based around this research is called the Low GI diet. Low glycemic index foods, such as lentils, provide a slower, more consistent source of glucose to the bloodstream, thereby stimulating less insulin release than high glycemic index foods, such as white bread."[46][47]
Similar to the CICO diet, the Body Reset has gained popularity via social media, and there isn’t any definitive research that suggests the approach is safe and effective. Celebrity trainer Harley Pasternak created the plan, which is essentially a three-phase liquid diet comprised of smoothies and moderate exercise. While U.S. News notes you may lose weight on the diet, it may be tough to stick with, and isn’t safe for people with diabetes and heart disease. (38)
^ Ketogenic "eggnog" is used during induction and is a drink with the required ketogenic ratio. For example, a 4:1 ratio eggnog would contain 60 g of 36% heavy whipping cream, 25 g pasteurised raw egg, saccharin and vanilla flavour. This contains 245 kcal (1,025 kJ), 4 g protein, 2 g carbohydrate and 24 g fat (24:6 = 4:1).[17] The eggnog may also be cooked to make a custard, or frozen to make ice cream.[36]
A little garlic in your meals could mean a lot less weight around your middle. The results of a Korean study found that mice given a high-fat diet supplemented with garlic lost significantly more weight and abdominal fat than those who just ate fatty foods. Even better, they also improved their liver health, making it easier to stay healthy and burn off that excess fat in the long term. For more flavorful ways to make your food more enjoyable, turn to the 20 Spicy Recipes That Fire Up Your Metabolism and watch those pounds melt away.
Sleep enough – for most people at least seven hours per night on average – and keep stress under control. Sleep deprivation and stress hormones raise blood sugar levels, slowing ketosis and weight loss a bit. Plus they might make it harder to stick to a keto diet, and resist temptations. So while handling sleep and stress will not get you into ketosis on it’s own, it’s still worth thinking about.
You might have heard the term ‘middle-age spread’. This means, as women progress towards their middle years, the ratio of body fat increases compared to the body weight. During menopause, when the levels of estrogen go down, and the amount of androgens or male hormones increase, then there is an increased risk of fat accumulation in the waist. Hormones actually regulate the fat concentration in the body, and your figure depends entirely on it!
^ Freeman JM, Vining EP, Pillas DJ, Pyzik PL, Casey JC, Kelly LM. The efficacy of the ketogenic diet—1998: a prospective evaluation of intervention in 150 children. Pediatrics. 1998 Dec;102(6):1358–63. doi:10.1542/peds.102.6.1358. PMID 9832569. https://web.archive.org/web/20040629224858/http://www.hopkinsmedicine.org/press/1998/DECEMBER/981207.HTM Lay summary]—JHMI Office of Communications and Public Affairs. Updated 7 December 1998. Cited 6 March 2008.
The ketogenic diet is not a benign, holistic or natural treatment for epilepsy; as with any serious medical therapy, there may be complications.[27] These are generally less severe and less frequent than with anticonvulsant medication or surgery.[27] Common but easily treatable short-term side effects include constipation, low-grade acidosis and hypoglycaemia if there is an initial fast. Raised levels of lipids in the blood affect up to 60% of children[37] and cholesterol levels may increase by around 30%.[27] This can be treated by changes to the fat content of the diet, such as from saturated fats towards polyunsaturated fats, and, if persistent, by lowering the ketogenic ratio.[37] Supplements are necessary to counter the dietary deficiency of many micronutrients.[3]
“For weight loss, it’s important to eat foods with plenty of protein and fiber to keep you full throughout the day and prevent you from overeating. I like to recommend opting for plant-based proteins, since they tend to have fewer calories than their meat counterparts,” says Rizzo. A 1/2 cup of cooked lentils has 12 grams of protein for just 140 calories. It's super versatile and can be added to grain bowls, salads, soups, and more.
Simply take a good hard look at your diet, make a few modifications you can stick with and get your body moving. Not sure where you stand on diet? Write down everything you eat this week, then compare it to the list above and see where you could have made better choices. Don’t beat yourself up though, learning how to lose stomach fat fast is a process. Simply find areas to improve and work on them next week.
Research also shows that workouts involving high-intensity interval training (HIIT) can help reduce excess fat around your middle. Besides working your core, try incorporating a day or two of more vigorous exercise into your weekly schedule. (You can start with these three beginner routines.) Keep in mind that you can lower your total body fat percentage even by moving around more at work, according to another study.
A 2009 review found that existing limited evidence suggested that encouraging water consumption and substituting energy-free beverages for energy-containing beverages (i.e., reducing caloric intake) may facilitate weight management. A 2009 article found that drinking 500 ml of water prior to meals for a 12-week period resulted in increased long-term weight reduction. (References given in main article.)
Leafy Greens – Help you feel satisfied longer, boost your metabolism and turn off your hunger receptors. You will eat less and lose more belly fat just by increasing your leafy greens! They’re low in calories and high in fiber, making them the perfect weight loss food. Not a fan? Try one of our yummy green smoothies. Examples include spinach, romaine lettuce, kale, bok choy, arugula, chard, and mustard greens.

Lastly, to help you stay motivated I recommend you log your weight loss results so that you can gather an average. You will always have good weeks and bad weeks, but it’s the average that counts. Every weigh in (only weigh in once per week) write the pounds lost on your calendar. At the end of 8 weeks add up all the weight loss pounds and divide by 8 for your 8 week average. This will help you stay motivated and see your results. Anytime you have a bad week, think of your weight loss average and know this is all just part of the process.

Obviously, it’s still possible to lose weight on any diet – just eat fewer calories than you burn, right? The problem with this simplistic advice is that it ignores the elephant in the room: Hunger. Most people don’t like to “just eat less”, i.e. being hungry forever. That’s dieting for masochists. Sooner or later, a normal person will give up and eat, hence the prevalence of “yo-yo dieting”.
Diarrhea can also be due to a lack of fiber in the diet, says Kizer, which can happen when someone cuts way back on carbs (like whole-grain bread and pasta) and doesn’t supplement with other fiber-rich foods, like vegetables. It can also be caused by an intolerance to dairy or artificial sweeteners—things you might be eating more of since switching to a high-fat, low-carb lifestyle.
The ketogenic diet is indicated as an adjunctive (additional) treatment in children and young people with drug-resistant epilepsy.[25][26] It is approved by national clinical guidelines in Scotland,[26] England and Wales[25] and reimbursed by nearly all US insurance companies.[27] Children with a focal lesion (a single point of brain abnormality causing the epilepsy) who would make suitable candidates for surgery are more likely to become seizure-free with surgery than with the ketogenic diet.[9][28] About a third of epilepsy centres that offer the ketogenic diet also offer a dietary therapy to adults. Some clinicians consider the two less restrictive dietary variants—the low glycaemic index treatment and the modified Atkins diet—to be more appropriate for adolescents and adults.[9] A liquid form of the ketogenic diet is particularly easy to prepare for, and well tolerated by, infants on formula and children who are tube-fed.[5][29]

4. Eat more vegetables, fruits, whole grains, and beans (including soy). Studies show that these plant-based disease-fighters make up only 10% of the calories in the American diet. Plant-based foods are high in water and fiber and essential vitamins and antioxidants, yet very low in calories. Diets high in plant-based foods play a key role in the prevention of diseases, including obesity, heart disease, certain types of cancer, and type 2 diabetes.

The good news is that snacks are totally allowed (and I're not just talking about carrot sticks.) There are plenty of packaged options out there designed for keto fans. FATBAR is one of them. These snack bars have 200 calories, 16 grams of fat, and four grams of net carbs. They're also plant-based and are made with almond or cashew butter, cocoa butter, coconut, pea protein, sunflower seeds, and chia seeds.
This is ratio of weight in kilograms to the square of height in meters. This parameter helps doctors judge whether the person will suffer from heart disease or strokes. Those having a BMI of 25-29.9 are considered overweight and those with a BMI of 30 are considered obese. However, this parameter is not always accurate in measuring belly fat. In fact, you can measure your belly fat with a measuring tape in front of the mirror, and set your own targets to reduce belly fat. Looking at the mirror and checking regularly will motivate you to lose the unhealthy fat lining your abdomen.
The conclusion? Intermittent fasting was just as effective for weight loss as daily calorie restriction. So if you struggle with daily food restriction, fasting might be an easier way to dial back the amount you’re eating without feeling completely deprived. Read more in-depth about how intermittent fasting works (and if you’ll be able to stick to it) here.
Eat Breakfast Every Day. One habit that's common to many people who have lost weight and kept it off is eating breakfast every day. "Many people think skipping breakfast is a great way to cut calories, but they usually end up eating more throughout the day, says Elizabeth Ward, MS, RD, author of The Pocket Idiot's Guide to the New Food Pyramids. "Studies show people who eat breakfast have lower BMIs than breakfast-skippers and perform better, whether at school or in the boardroom." Try a bowl of whole-grain cereal topped with fruit and low-fat dairy for a quick and nutritious start to your day.

With this eating style, you’re looking at a lot of menu planning and preparation. A review published in August 2017 in Nutrients suggests the diet could lead to weight loss, but the Academy of Nutrition and Dietetics warns the plan could also cause certain nutrient deficiencies, such as in calcium and vitamin D. (3,4) And, therefore, according to an article published in the January–February 2016 issue of the Royal Australian College of General Practitioners, anyone at risk for osteoporosis should avoid it. (5)
From the whole wheat toast, you’ll get plenty of carbohydrates, fiber, iron, Vitamin B-6, magnesium and calcium. You’re probably familiar with most of these vitamins and minerals. Calcium of course is important for healthy bones and teeth. Magnesium is also found in the bones; but is needed too for creating protein. Iron plays an important role in blood, specifically, it carries oxygen in the body (2). That’s why iron deficiencies can cause you to feel tired, as oxygen may move more slowly throughout your body. The peanut butter will fill you up with 8 grams of protein and healthy fats. Finally, both coffee and tea are full of antioxidants and caffeine to give you a kick start in energy. As a result, you can confidently choose either coffee or tea. If you want to obtain additional health benefits, try drinking green tea.
The ketogenic diet is not a benign, holistic or natural treatment for epilepsy; as with any serious medical therapy, there may be complications.[27] These are generally less severe and less frequent than with anticonvulsant medication or surgery.[27] Common but easily treatable short-term side effects include constipation, low-grade acidosis and hypoglycaemia if there is an initial fast. Raised levels of lipids in the blood affect up to 60% of children[37] and cholesterol levels may increase by around 30%.[27] This can be treated by changes to the fat content of the diet, such as from saturated fats towards polyunsaturated fats, and, if persistent, by lowering the ketogenic ratio.[37] Supplements are necessary to counter the dietary deficiency of many micronutrients.[3]
The foods in the 3 Day Military Diet may have some metabolic benefits. High protein foods have thermal effects; therefore, you see eggs, tuna, peanut butter, and meat in the plan. High-fiber foods also boost your metabolism, hence the appearance of some vegetable and fruits in the diet. Foods high in calcium are also linked to faster fat burning, therefore, the diet includes ice cream, cottage cheese, and cheese.
Epilepsy is one of the most common neurological disorders after stroke,[7] and affects at least 50 million people worldwide.[8] It is diagnosed in a person having recurrent unprovoked seizures. These occur when cortical neurons fire excessively, hypersynchronously, or both, leading to temporary disruption of normal brain function. This might affect, for example, the muscles, the senses, consciousness, or a combination. A seizure can be focal (confined to one part of the brain) or generalised (spread widely throughout the brain and leading to a loss of consciousness). Epilepsy may occur for a variety of reasons; some forms have been classified into epileptic syndromes, most of which begin in childhood. Epilepsy is considered refractory (not yielding to treatment) when two or three anticonvulsant drugs have failed to control it. About 60% of patients will achieve control of their epilepsy with the first drug they use, whereas about 30% do not achieve control with drugs. When drugs fail, other options include epilepsy surgery, vagus nerve stimulation and the ketogenic diet.[7]
You can do both types of exercise for each of the three days, or just one of them. Then, when you’re on your 4 days off the diet, you can do both cardio and weight training, or perhaps lengthen the time you do either one of them by up to 45-60 minutes. You can also alternate days- doing cardio one day and strength training the next. This way you get the benefits of each, but only focus on one at a time.
The benefits above are the most common ones. But there are others that are potentially even more surprising and – at least for some people – life changing. Did you know that a keto diet can help treat high blood pressure, may result in less acne, may help control migraine, might help with certain mental health issues and could have a few other potential benefits?
The keto diet (also known as ketogenic diet, low carb diet and LCHF diet) is a low carbohydrate, high fat diet. Maintaining this diet is a great tool for weight loss. More importantly though, according to an increasing number of studies, it helps reduce risk factors for diabetes, heart diseases, stroke, Alzheimer’s, epilepsy, and more1-6.On the keto diet, your body enters a metabolic state called ketosis. While in ketosis your body is using ketone bodies for energy instead of glucose. Ketone bodies are derived from fat and are a much more stable, steady source of energy than glucose, which is derived from carbohydrates.
What’s more, your body digests protein more slowly than carbs, so it keeps you feeling fuller longer and zaps your need to needlessly snack. “During weight loss, you want more protein—to prevent hunger, enhance satiety, and minimize muscle loss, as long as there’s some degree of physical activity,” Tom Rifai, MD, regional medical director of metabolic health and weight management for the Henry Ford Health System in Detroit told Prevention.
Are you curious to know how nutritious this diet is? The 3 Day Military Diet does provide a variety of foods that contain a range of nutrients. You’ll notice that each day contains a significant amount of protein which is especially helpful while you’re on this low-calorie diet so that you don’t lose muscle or have a metabolism slow-down. In addition, the diet contains a number of vitamin and mineral-packed foods- some of which may surprise you.
By now, you probably know that coffee can help curb your appetite. But did you also know it can boost your metabolism? Since coffee contains the antioxidant chlorogenic acid (CGA), it can actually increase your body’s use of fat for energy. Research has additionally shown that CGA can slow the release of glucose and lower insulin resistance to inhibit weight gain after eating a meal.
Physical activity helps burn abdominal fat. “One of the biggest benefits of exercise is that you get a lot of bang for your buck on body composition,” Stewart says. Exercise seems to work off belly fat in particular because it reduces circulating levels of insulin—which would otherwise signal the body to hang on to fat—and causes the liver to use up fatty acids, especially those nearby visceral fat deposits, he says.

The foods in the 3 Day Military Diet may have some metabolic benefits. High protein foods have thermal effects; therefore, you see eggs, tuna, peanut butter, and meat in the plan. High-fiber foods also boost your metabolism, hence the appearance of some vegetable and fruits in the diet. Foods high in calcium are also linked to faster fat burning, therefore, the diet includes ice cream, cottage cheese, and cheese.
2. Ab Plank is a great exercise to really challenge your entire core and build up your strength and endurance. The Plank works the lower abdomens, the oblique muscles and your lower back. It takes focus and concentration plus some upper body strength. Start with holding the plank position for 30- 40 seconds and build your way up. You will be amazed at how strong your cores will get by doing this exercise regularly.
The ketogenic diet has been studied in at least 14 rodent animal models of seizures. It is protective in many of these models and has a different protection profile than any known anticonvulsant. Conversely, fenofibrate, not used clinically as an antiepileptic, exhibits experimental anticonvulsant properties in adult rats comparable to the ketogenic diet.[57] This, together with studies showing its efficacy in patients who have failed to achieve seizure control on half a dozen drugs, suggests a unique mechanism of action.[55]

Unintentional weight loss may result from loss of body fats, loss of body fluids, muscle atrophy, or even a combination of these.[26][27] It is generally regarded as a medical problem when at least 10% of a person's body weight has been lost in six months[26][28] or 5% in the last month.[29] Another criterion used for assessing weight that is too low is the body mass index (BMI).[30] However, even lesser amounts of weight loss can be a cause for serious concern in a frail elderly person.[31]

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