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This is one of the most important questions and the answer is nuanced but clear

Mol Metab 2019;29:136144

Reusing them increases the risk of infection and contamination

Clinical trial data on semaglutide and tirzepatide has repeatedly shown that a meaningful share of total weight lost on these medications is lean mass rather than fat mass, with figures in published research and clinical commentary commonly cited in the range of roughly a quarter to nearly forty percent of total weight lost, depending on the study population, age, baseline muscle mass, and whether participants were doing any resistance training at all

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