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Cleveland Clinic notes that dehydration is a common side effect of overly large calorie deficits and can contribute to fatigue. Move Smarter, Not Harder Feeling tired does not mean strength training has to stop

It is also possible that insulin resistance is the link between low GH levels and MASLD, as insulin directly suppresses pituitary GH secretion (129)

UK health regulators are investigating reports of pancreatitis linked to GLP-1 medications, including Ozempic (semaglutide), Wegovy (semaglutide), and Mounjaro (tirzepatide)