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Instead of judging progress by the scale alone, clinicians may also track waist measurements, blood pressure, glucose markers, energy level, strength, and how clothing fits

That means when someone loses 20 pounds, a portion of that may come from muscle if the right signals arent present

The "no hidden fees" language is the brand's own marketing claim

10.1016/j.jad.2016.02.031 177 RonveauxC

All three drugs share the same common active ingredient: semaglutide
