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However, long-term adherence is challenging, and weight loss is often modest and difficult to sustain due to physiological ( 3.1 GLP-1 agonists and exercise: comparative and combined effects Direct comparisons reveal that GLP-1RAs generally produce greater short-term weight loss than exercise alone, but exercise is superior for maintaining lean mass and cardiorespiratory fitness ( Recent randomized controlled trials show that combining GLP-1RAs with exercise yields additive benefits, including greater reductions in metabolic syndrome severity, abdominal obesity, oxidative stress and inflammation, and improved weight loss maintenance after cessation of pharmacotherapy ( Interestingly, recent evidence highlights the interconnection between exercise-induced interleukin-6 (IL-6) secretion and GLP-1RAs

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[DOI] [PMC free article] [PubMed] [Google Scholar] 36.Susztak K., Bttinger E.P

It is not insulin and should not be used as a substitute for insulin in people who need insulin therapy