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The risk is real
Fortunately, this is easily avoided

Medicare Coverage Requirements Page: Review the consumer-facing coverage parameters directly on the Medicare.gov Weight Loss Drugs Page

The ratio of fat to muscle loss depends heavily on whether youre doing resistance training and eating enough protein

Your provider may recommend holding at an intermediate dose if efficacy is achieved and tolerability is optimal, rather than automatically escalating to maximum

The drugs have been shown to help people shed between 15% to 20% of their bodyweight in clinical trials