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Importantly, the majority of that loss came from fat mass rather than lean muscle, according to DEXA body-composition scans

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The Risk of "Extreme" Fasting: Longer fasts combined with GLP-1 therapy can lead to insufficient nutrient intake, which triggers muscle atrophy and a "yo-yo effect" once the medication is stopped

Lexapro lowers the seizure threshold, so people with a history of seizures will require monitoring while taking Lexapro