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Weight loss during this period is typically 2 to 4 pounds, primarily from reduced caloric intake and initial fluid shifts

An expert explains what the evidence really says

Large amounts of weight loss (5-15 lbs) are generally reflect water loss

Curr J Neurol 22(1):3034 Hauschild TC, Guerreiro G, Mescka CP, Coelho DM, Steffens L, Moura DJ, Manfredini V, Vargas CR (2019) DNA damage induced by alloisoleucine and other metabolites in maple syrup urine disease and protective effect of l-carnitine