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India is home to over 100 million people with diabetes and approximately 250 million classified as obese or overweight.[15] What makes the situation uniquely dangerous is the Thin-Fat Indian paradox: South Asians tend to accumulate more visceral (belly) fat, liver fat, and less lean muscle mass at lower body weights than Western populations.[8][9][10] While GLP-1 medications are a global phenomenon, they are particularly critical for the Thin-Fat Indian phenotype

US findings (Canon Aplio i800) were categorized per US LIRADS 2018 as US1: no observation or definitely benign

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Your blood sugar may spike slightly because the medication cannot fully regulate a very large nutrient load, though your insulin response remains better controlled than it would be without semaglutide