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This is not the same as saying GLP-1 medications cause muscle wasting. What the evidence actually shows is that rapid weight loss without adequate protein intake or resistance training can lead to meaningful lean mass reductions alongside fat loss

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6 Since then, states have altered their positions on covering anti-obesity GLP-1 therapies: Four have withdrawn coverage entirely (California, New Hampshire, Pennsylvania, and South Carolina), three have added coverage (Missouri, Tennessee, and Utah), and at least two states (Michigan and Virginia) have enacted more narrow utilization criteria, limiting future use to those with morbid obesity