The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
I personally think it should be illegal to prescribe these drugs, unless they're combined with a nutrition consult to educate people about their protein requirements that are increased and with an exercise-- or a trainer, a physiologist or a trainer, to help them develop a strength-training program.
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Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.
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So I think, can they be used as part of an overall strategy with nutrition counseling, exercise counseling, and integrating lower doses and modifying the dosing regimen?
I I today think that virtually anybody can use these drugs safely, but and by safely, I I don't just mean in the obvious sense of the word. I mean safely for long-term muscle health as well, right? Um, but it requires a ton of deliberate attention.
I can still take this drug. I can still lose weight but I also have to do something kind of deliberate to make sure I don't have a negative impact on my skeletal muscle.
we're just starting some of this work with these GLP1s of what is the right amount or can we what's the can we alter the dose or help us feel better if we add things like resistance training and higher levels of protein and there is good science on the on the protein side of things.