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In this context, eating patterns are a key determinant of weight loss success and maintenance, yet evidence on how best to combine pharmacotherapy with specific dietary strategies remains limited [14, 17]

A 2025 study presented at ENDO (the Endocrine Society's annual meeting) confirmed that approximately 40% of weight lost from semaglutide comes from lean mass, with women and older adults at higher risk

These changes result from the direct effect of GLP-1RAs on proinflammatory cytokines production in monocytes/macrophages as it blocks NF-B, and lowers the formation of pro-inflammatory M1 macrophages