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Building significant new muscle while in a calorie deficit is challenging but not impossible, especially for beginners to resistance training (often called newbie gains)

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Monthly: Progress photos (front, side, back, in same lighting and clothing)

Patients with a BMI of 30 kg/m or greater who are considering GLP-1 therapy should schedule a visit with a board-certified endocrinologist or obesity medicine specialist, request baseline metabolic labs (HbA1c, fasting lipids, hepatic function panel), and discuss a 12-month treatment plan that includes dietary modification and physical activity alongside pharmacotherapy 7