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How do clinicians know whether the GLP-1 caused the symptoms

Higher protein intake may help preserve lean mass

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A recent systemic review and meta-analysis published in the British Medical Journal (BMJ) found that while people tend to lose more weight more quickly with GLP-1s compared to traditional behavioral weight loss programs like exercise and diets, they may gain weight back faster after they stop taking the drugs compared to after they stop these lifestyle changes

You cannot buy effective GLP-1 as a supplement for weight loss over the counter, as the best options require prescriptions