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Quick Answer: Back pain is not a recognized direct side effect of GLP-1 receptor agonists according to FDA prescribing information and clinical trial data

Without adequate protein, you lose muscle along with fat, which slows your metabolism and makes weight regain more likely after stopping medication

10.1016/j.diabet.2021.101223 94 SongG.YangD.WangY.de GraafC.ZhouQ.JiangS.et al (2017)

It is important to differentiate between expected side effects of Mounjaro (which often improve with time) and symptoms that may represent histamine intolerance or other medical conditions

So, while the internet is filled with chatter, the correct frequency is determined by pharmacology and your physician