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They may check your hormone levels to make sure thats not the causing factor

Every patient completes a medical intake and good faith exam with a licensed medical provider

Impact of semaglutide on fat mass, lean mass and muscle function in patients with obesity: The SEMALEAN study
By November 2023 the FDA had given its official approval to tirzepatide for weight loss alone, under the brand name Zepbound

Nutrients (2020) 12(5):1474

You don't have to have your entire program to hold on to the muscle