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There are a few overlapping reasons: You eat (and therefore drink) less

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The maximum approved dose of 2 mg weekly can be considered after at least four weeks at 1 mg if further HbA1c reduction is required

However, in older adults or those with sarcopenia, functional assessment (using tools like grip strength measurement or the SARC-F questionnaire) is warranted to identify patients who may need additional intervention to preserve muscle function

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