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It is also given as a weekly injection, but that dual action may give extra support for some people, especially those with strong insulin resistance or a higher starting body weight

Most tend to be mild to moderate and can often be managed through dosage adjustments or other simple measures

Specific strategies: Return to full training programs (3-4 sets per exercise) Attempt modest strength increases when possible Add 1-2 isolation exercises per session for body composition refinement Consider increasing training frequency (3 to 4 days weekly if recovery permits) Implement moderate cardio (2-3 sessions weekly, 20-30 minutes) Track body composition monthly via DEXA scan or bioimpedance if accessible Performance expectations: Most patients maintain strength during this phase

doi: 10.2337/dc08-1355 35 GarberAHenryRRatnerRGarcia-HernandezPARodriguez-PattziHOlvera-AlvarezIet al