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The evidence-based protocol involves: Protein intake of 1.62.2 g per kg of body weight during the weight-loss phase Resistance training 24 times weekly to preserve muscle Body composition scans (InBody, DEXA) to separate fat loss from muscle loss the scale alone cannot tell you the difference Physician oversight to adjust dose, escalate nutrition, or intervene if lean mass drops A prescription alone will not protect you from "Wegovy face." A medically supervised protocol will

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Recommended exercises include: Bridges Strengthens the glutes and lower back

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10.1016/j.soard.2018.02.022 102

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NSAIDs (ibuprofen, naproxen) used chronically alongside tirzepatide pose a cumulative risk to both kidney and liver function, especially when combined with dehydration from tirzepatide-related nausea

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