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Consider alternative routes : The Inca Trail is popular, but others like Salkantay or Lares reduce pressure on a single trail
Avoid these entirely
Panniculectomy (removal of hanging abdominal skin) may be covered if the skin causes chronic infections, rashes, or mobility limitations
The other long-term concern is muscle loss (sarcopenia), which is not drug specific it accompanies any form of rapid weight reduction, and needs preventive measures like enhanced protein intake and strength training to be instituted from the beginning
