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Body composition and appearance: Fat loss without muscle preservation often produces a "skinny fat" look rather than the toned, defined physique most people actually want when they say they want to "lose weight." Rebound risk: A lower resting metabolism from lost muscle makes it easier to regain fat if the medication dose changes, is paused, or is discontinued a scenario an increasing number of my South Carolina clients are now navigating

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HR averaged over 24 h increased by 2 bpm with exenatide BID compared with a decrease of 1 bpm for placebo (n = 26) at the end of the study period [21]

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