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Systemic corticosteroids (prednisone) may be used for more extensive disease, though they are not appropriate for maintenance due to significant adverse effects with prolonged use
Ozempic and Mounjaro are FDA-approved for type 2 diabetes treatment, but may be prescribed off-label for weight loss at a healthcare providers discretion
So what is happening is, yes, they might be losing weight and they can train for a little while, but as soon as they start to try to develop any sort of consistency and progression on the bike, the lack of food intake is just not able to support that. Brooke has also seen riders who went on a GLP-1 to drop a few pounds regain the weight quickly after going off of the drug
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