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How do you manage the storm

These results show that even cardio training has a muscle-protective effect compared to no exercise

doi:10.1038/s41577-020-00429-3 49

TLDR: "Discontinuation of GLP-1RA treatment leads to weight regain, regardless of lifestyle interventions, and should therefore be considered a chronic therapy to prevent weight regain and associated undesirable outcomes related to obesity." Key findings: After stopping liraglutide, patients regained ~2.2 kg After stopping semaglutide/tirzepatide, patients regained ~9.7 kg Weight regain was proportional to initial weight loss Lifestyle changes alone DID NOT prevent regain Implication: GLP-1 receptor agonists are not a short-term solution

Hyperthyroidism Elevated levels of thyroid hormone in the bloodstream, whether from endogenous or exogenous sources, stimulate hyperthyroidism [14]

Repeat as needed until the rectum is clear of fecalomas