glp 1 lean mass loss Changes in body with glucagon‐like peptide‐1‐based therapies and mitigation strategies - Neeland - 2024 - Diabetes, Obesity and Metabolism What Happens After GLP-1 Weight
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In a previous cohort study comparing GLP-1RAs with anti-obesity medications bupropion-naltrexone in patients with obesity who had no T2DM [45] showed an increased risk of bowel obstruction

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Providers recommend GLP-1 receptor agonists for patients who cannot tolerate metformin, exceed a hemoglobin A1c (HbA1c) target by more than 1.5%, or fail to achieve glycemic goals within three months of treatment (20)

The plan may ask for updated measurements, additional notes, prior diet-program records, or clarification of medical necessity
Consistency becomes flexible, not rigid