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Think of it as a binary choice: Path A: No Training Lose 60 pounds (45 pounds fat, 15 pounds muscle) Metabolic rate drops 200+ calories daily Body composition: skinny-fat appearance Long-term: Higher regain risk, need to eat less to maintain weight Path B: Consistent Training + Protein Lose 60 pounds (55 pounds fat, 5 pounds muscle) Metabolic rate maintained or only minimal decrease Body composition: Lean, defined appearance Long-term: Lower regain risk, can eat more to maintain weight Same scale result
Many patients who come to us have already tried to lose weight through diet and exercise
Diagnostic imaging and testing , including endoscopy reports, gastric-emptying studies, and lab data showing nutritional deficits or electrolyte abnormalities
This was demonstrated in two randomised controlled trials (RCTs) that showed a decrease in epicardial adipose tissue in patients with T2D and obesity on liraglutide and exenatide according to echocardiography and cardiac MRI
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