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Management Decision Empiric therapy initiated: Piperacillintazobactam 4.5 g IV q6h + Azithromycin 500 mg IV q24h (Alternative: Cefepime 2 g IV q8h + Levofloxacin 750 mg IV q24h) Cultures were obtained before starting antibiotics to allow de-escalation once results are available

Constipation often becomes more noticeable when appetite drops

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Muscle plays a crucial role in: Maintaining metabolic rate : More muscle mass means higher calorie expenditure at rest