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GLP-1RAs: glucagon-like peptide-1 receptor agonists, BCAA: branched chain amino acids, mTOR: mammalian target of rapamycin, DXA: dual-energy X-ray absorptiometry, BIA: bioimpedance analysis Novel pharmacological approaches Besides behavioral strategies, emerging pharmacologic agents, comprising anabolic and anti-catabolic drugs, have been demonstrated to be effective in the prevention and treatment of sarcopenia or disproportionate lean mass loss in patients receiving GLP-1RAs

Patients with concerning symptoms such as persistent vomiting, severe abdominal pain, or gastrointestinal bleeding should be promptly referred to their bariatric surgery team for evaluation

Peppermint and spearmint reduce pressure on the lower esophageal sphincter, allowing stomach contents to flow back into the esophagus

Endocrinology (2014) 155(4):128090

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