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How to Prevent Muscle Loss When Using a GLP-1 Don't Skip Exercise “Exercise isn’t just about the number on the scale — it’s about muscle preservation, metabolic resilience, mental health, and longevity,” Saluja says

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But insulin dose reduction needs to be done carefully and gradually, with close CGM monitoring, to avoid either hypoglycemia (from too much insulin relative to your new needs) or hyperglycemia (from reducing too aggressively)