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Surgical procedures like duodenal switch or SADI-S produce outcomes that no oral medication has ever come close to matching

A new University of Utah Health study raises questions about potential muscle effects linked to the GLP-1 drugs, including decreased strength in some muscles despite minimal size loss

JAMA Internal Medicine, 182 (5), 513519

Insufficient protein during rapid weight loss leads to muscle wasting, which worsens fatigue, reduces metabolic rate, and produces the "skinny fat" outcome nobody wants

The sensible path is for a professional to review your full history, your other conditions, and what youve already tried, and to decide from there what makes sense for you