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Losing muscle and fat creates the skinny-fat aesthetic due to a lack of tone and structure in the physique

There are other weight loss medications such as Wegovy and Saxenda that may be covered by Medicaid, depending on which state you live in

One produces average weight loss around 8% of body weight

However, it is difficult to ascertain whether this was due to specific biology or the lack of statistical power after adjustment for multiplicity in STEP 2 due to a smaller sample size