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Without testosterone replacement, GLP-1 medications alone may cause 15-40% of weight loss to come from lean mass rather than fat

The key is ensuring competence: Take CME courses in obesity medicine (60+ hours for ABOM certification) Understand when to refer (e.g., suspected Cushings syndrome, complex endocrine issues) Collaborate with primary care when appropriate Document that the intervention is part of comprehensive patient care If youre treating a patients depression and their olanzapine-induced 40-pound weight gain is worsening that depression, prescribing a GLP-1 isnt scope creep its integrated psychiatry

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High blood sugar increases the risk of cataracts by causing changes in the lens that make it become cloudy over time

10.1053/j.gastro.2007.04.007 21 McIntoshC