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And critically, the body composition changes showed that the fat loss was preferentially coming from the most dangerous depots, the visceral fat around organs that drives metabolic syndrome

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The agency confirmed this with the manufacturer, Novo Nordisk , which has ramped up production and is shipping all doses regularly to wholesalers

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The most successful long-term outcomes occur when patients adopt muscle-sparing practices from day one: setting a baseline strength-training routine, calculating adequate protein intake, and scheduling regular progress assessments