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The FDA has also quantified the damage from the adjacent, better-studied compounds, and the numbers are a floor, not a ceiling
Topiramate is also part of an approved weight loss medication called Qsymia, which combines topiramate and phentermine
In summary: Evaluating SMM loss plausibly due to GLP-1 medications compared to weight loss through other interventions (without GLP-1 medications), we find a dearth of evidence of disproportionate muscle mass loss
The trade-offs are real: iOS only, no lab bloodwork, and it is a paid app after the one week trial ($4.99/wk, $39.99/yr, or $79.99 lifetime)
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