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Lean mass rose as a share of total weight, and grip strength improved on semaglutide. Protein, resistance training, and strength trends provide more useful context than the scan ratio alone

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These findings are supported by a prospective study on VLCKD intervention [135] showing an average weight loss of approximately 20 kg over 4 months, primarily due to reductions in total and visceral FM (~ 85% of total loss), while LMB and muscle strength were preserved