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Youre Doing Cardio But Not Resistance Training Without strength training, weight loss can include muscle loss, which reduces metabolic rate Resistance training tells your body to retain muscle, not burn it Youre Not Moving Enough Overall If youre sedentary (e.g., desk job), you may burn only 1,5001,800 kcal/day Without movement, even a reduced appetite may not create a large enough deficit Exercise Fixes Add resistance training 23x/week: squats, pushups, resistance bands, or light weights Aim for daily movement bursts (e.g., 10-minute walks after meals = ~100200 kcal/day burned) Use fitness trackers (Apple Watch, Fitbit, Oura) to monitor steps and activity Combine aerobic + resistance training for best results Other Key Factors Youre in the Early Phase of Treatment Starting doses of GLP-1 medications are designed to minimise side effects not trigger maximum weight loss Most people see greater effects after 812 weeks of dose titration What to do: Stay on schedule and trust the process

104 Clinically, it is well established that weight loss and physical activity can reduce insulin levels by 1030%, and that lowering of insulin by 25% may be associated with a 5% absolute improvement in breast cancer mortality

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Together, these studies help shape safety protocols, particularly for patients with more complex CKD cases