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A Plateau Does Not Always Mean the Medication Stopped Working One of the most common patient fears is that a GLP-1 medication has stopped working. Sometimes the dose, medication, adherence, side effects, or nutrition plan does need to be reviewed

important nuance with the "glp-1 causes lean mass loss" debate: dexa scans are the tools we most commonly use to assess body composition, and they cannot distinguish actual muscle tissue loss from intramuscular fat loss (fat that surrounds the muscle)

Wang, L., Feng, L

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Note that the right plan would depend on whether you are taking GLP-1 medications alone or in combination with insulin or other medication