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Bariatric surgery works differently than medication

GLP-1 medications essentially amplify and extend those satiety signals, making it easier to maintain a caloric deficit without the constant hunger that makes dietary restriction so difficult to sustain

First, there is a lack of standardized exercise protocols across studies, with wide variability in training type, frequency, intensity, and supervision, which limits comparability and prevents the identification of optimal regimens for preserving lean mass or enhancing metabolic outcomes

Protein is one of the strongest dietary triggers

This means that the glucagon pathway can help treat things like high liver fat and poor blood sugar levels