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Although the exact mechanism was not elucidated, the results were attributed to GLP-1 by comparing wild-type rats to those lacking the gene for the GLP-1 receptor

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A systematic review and network meta-analysis found that GLP-1RAs, while reducing total weight and fat mass, led to a decrease in lean body mass (mean difference 0.86 kg), with the loss accounting for approximately 25% of the total weight loss [14]

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