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This matters because skeletal muscle is metabolically active tissue - the more you carry, the more energy your body uses at rest

No fats or complex carbs: Hello, energy crashes and mood swings

If you're actively trying to preserve or build muscle: you'll still want complete protein in your day (foods or whey/soy/pea blends), plus resistance training

An earlier trial, TRIUMPH-4, in participants with obesity and knee osteoarthritis, reported 28.7% average weight loss at 68 weeks along with meaningful reductions in joint pain

With Wegovy, the expectation is progression unless side effects force a pause

CKD is silent until it's advanced but two inexpensive lab tests can catch it years earlier
