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Who Should Rely on GLP-1 Alone and When Exercise Becomes Important Patients with mobility limitations, severe obesity, cardiopulmonary comorbidities, or arthritis may begin with GLP-1 monotherapy (medication without structured exercise) under provider supervision

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Elevated levels of liver enzymes gamma-glutamyl transpeptidase (GGT), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) can indicate liver damage, as can elevated serum bilirubin (a breakdown product of the red blood cell component hemoglobin normally cleared by a healthy liver)

Billy Tollett: No, I still feel like I got about 40 pounds to go

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