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Ethical approval The study was approved by the Institutional Review Board for Clinical Research Committee (IRB) of Mansoura University with the approval code R.22.10.1897.R1 and with the IRB committee, Al Yousif Hospital, Alkhobar, Saudi Arabia, (AYH IRB: 02/03/2023)

GLP-1 is a once-weekly injectable medication that mimics two important hormones in blood sugar and appetite control

Lower dumbbells towards chest, then press back up

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Abrupt discontinuation is not medically dangerous in the acute sense (no withdrawal syndrome), but it triggers predictable rebound hyperphagia and rapid weight gain within days