A keto professional is onboarding a new client with a BMI of 42 and metabolic syndrome. Which professional action should come first?
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A
Start a strict 4:1 therapeutic keto ratio immediately
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B
Conduct a full health history intake and obtain medical clearance before designing the protocol
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C
Recommend bariatric surgery before trying keto
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D
Advise starting with a juice cleanse before transitioning to keto