This is a serious problem for several reasons: Muscle loss slows your resting metabolic rate, making it harder to keep weight off after stopping the medication Reduced muscle mass increases the risk of falls, fractures, and loss of physical function particularly in older adults The skinny fat phenomenon normal BMI but high body fat percentage is a real outcome of poorly managed GLP-1 use The solution is not to avoid GLP-1 medications
Yes, injection site selection is important for GLP-1 receptor agonists such as semaglutide (Ozempic, Wegovy), dulaglutide (Trulicity), and liraglutide (Victoza, Saxenda)
Unfortunately, NAFLD is often underdiagnosed because of its asymptomatic nature, the absence of standardized diagnostic assays in everyday clinical practice and the lack of awareness among individuals and physicians (less than 5% of individuals with NAFLD are aware of their disease) [1, 6, 9]
Stool studies may be indicated to exclude infectious causes, particularly if diarrhea is prominent