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The speed of this collateral activation appears rapid compared to natural compensatory processes

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Required Reading for this Course: Nutritional priorities to support GLP-1 therapy for obesity: A joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society

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Furthermore, IL-6initiated inflammatory cascade activates additional cytokines, such as TNF and IL-1, through NF-B, forkhead box O4 (FOXO4), and related signaling networks, further exacerbating muscle atrophy [48, 63]

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insulin resistance can alter estrogen metabolism, inviting unwanted growth or tissue changes

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