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Dietary recommendations include: Mediterranean-style diet emphasising vegetables, fruits, whole grains, legumes, nuts, olive oil, and lean proteins (particularly fish) Reduced refined carbohydrates and added sugars limiting sugar-sweetened beverages, processed foods, and high-glycaemic-index carbohydrates Moderate protein intake adequate protein supports satiety and preserves lean muscle mass during weight loss Limited saturated fat reducing red meat, full-fat dairy, and processed meats Avoiding excessive fructose particularly from soft drinks and fruit juices Physical activity provides benefits independent of weight loss

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[24] The resulting three-year agreement [25] was extended in 2006