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That's the most direct route to a rough GI experience

GLP-1 drugs show promise for weight management Across the reviewed studies, tirzepatide, semaglutide, and liraglutide consistently led to significant weight loss over one to two years compared with placebo, and the benefits appeared to continue during ongoing treatment

Impact of postprandial hypoglycemia on weight loss after bariatric surgery

So, yes reduction of body fat mass while maintaining or building lean body mass is possible, which involves resistance training, an individualized healthy rate of fat loss, macronutrient / calorie modulation, high protein, supplements / nutraceuticals, plenty of low carb vegetables, etc

Clinical outcomes range widely, and any provider making fixed guarantees is a marketing operation, not a medical one

However, the final decision should reflect your values, preferences, and comfort level with the available evidence