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& Greenfield, J

This happens because of water retention or slower digestion, not because of fat gain

Fullen DR, Poynter JN, Lowe L, Su LD, Elder JT, Nair RP, Johnson TM, Gruber SB

Another possible side effect is muscle loss, but thats an outcome of any means of weight loss and can be largely countered with strength training

Glucagon-like peptide-1 receptor agonist use is associated with a lower risk of major adverse liver-related outcomes: a meta-analysis of observational cohort studies