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Prioritizing protein at every meal, using shakes or bars as supplements, and tracking intake carefully prevents the excessive lean mass loss that gives these medications a bad reputation for "making you skinny fat." Ignoring hydration Reduced food intake means reduced water intake from food sources

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For very active people, these procedures often mean being less active than you would like to be

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For people with malabsorption, injections are often the only practical route to restore normal physiology