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Endoscopic Thoracic Sympathectomy

Studies such as the LEADER trial (liraglutide), SUSTAIN-6 (semaglutide), and REWIND (dulaglutide) have shown reductions in major adverse cardiovascular events, including heart attack and stroke, in people with type 2 diabetes and established cardiovascular disease or high cardiovascular risk

In one case: Weight: 177 161 lb Body fat: 15.4% 13.6% Visceral fat: 8 6 Muscle mass: 142 132 lb Muscle ratio increased: 54.7% 55.8% Importantly: muscle mass decreased in absolute terms, but fat reduction outpaced it, increasing relative muscle ratio

Yes, as your body weight decreases, your basal metabolic rate and total calorie requirements naturally reduce, so calorie intake should be periodically reassessed with your healthcare provider to ensure continued safe and effective weight management