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Yet the heaviness, bloating, constant fatigue, strange hunger pains, and burning keeps coming back

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The best non-diabetic body-composition anchor favors tirzepatide, about 75:25 fat-to-lean loss in its DXA data versus about 62:38 in semaglutides. This is cross-trial evidence, not a head-to-head maintenance-dose DXA result

Exercise is one of the most powerful ways to improve metabolic health, maintain mitochondrial function, preserve muscle, and reduce the risk of age-related diseases