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If keto can shift that ratio, preserving muscle while still producing significant fat loss, the combination addresses the single biggest criticism of GLP-1 therapy for body composition

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[DOI] [PubMed] [Google Scholar] Trumper K, Trumper A, Trusheim H, Arnold R, Goke B, Horsch D

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This study found no evidence reasonably suggesting an association between GLP-1RA and SSIBs based on clinical characteristics, TTO, disproportionality, and co-medication analysis

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