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So, you may lose a lot of weight relatively quickly on these drugs - most of that being fat - but a good portion of the weight lost - if you aren't actively working on prevention - is lean body mass (LBM) or muscle - "the proportion of LBM reduction ranged between 20% and 50% of total weight lost." Some studies show 40-60% of total weight loss was from lean body mass

Medical Writing/Editorial Assistance Festina Lente S.A.S

However, certain situations may qualify for coverage when excess skin causes documented medical problems

doi: 10.3390/antiox11010133

Mov Disord 2015;30(12):1696-1701

Resuming semaglutide after surgery should be based on your recovery progress rather than fixed timelines