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The reporting followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines

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If a patient is worried about muscle loss during weight loss, we first need to look at: Protein intake Total calorie intake Rate of weight loss Resistance training Body composition Overall medical health If the patients concern is a tendon or musculoskeletal injury, that is a different clinical conversation

Some peptides are FDA-approved prescription medications, some are legally compounded by licensed pharmacies with a prescription, and many of the ones sold online as research chemicals are not legal for human use at all

However, metformin has some advantages too