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So, why is CVS making this change

Several theories exist: The additive effects theory suggests that GIP and GLP-1 work through partially independent pathways

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But if strength keeps declining, soreness persists beyond 72 hours, or you feel exhausted before sessions begin, your training volume exceeds your current recovery capacity and needs to be reduced

Its likely that GLP-1 RAs (or their combinations) will be part of a future MASH therapy regimen, given weight loss is the cornerstone treatment and GLP-1 causes weight loss plus some direct hepatic fat reduction