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Patients with Type 2 Diabetes and Chronic Kidney Disease Used to reduce the risk of sustained estimated glomerular filtration rate (eGFR) decline, end-stage kidney disease, and cardiovascular death in adults with type 2 diabetes mellitus and chronic kidney disease

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Within that trial, the body-composition substudy showed that fat mass declined proportionally far more than lean mass, and the ratio of fat-to-lean loss was in line with what has been reported for semaglutide and tirzepatide

We optimize for composition, not just the number on the scale

So therefore its okay because its the same as those other methods, but I think as youre saying, it doesnt have to be that way