N Engl J Med 355:22972307 Aithal GP, Thomas JA, Kaye PV et al (2008) Randomized, placebo-controlled trial of pioglitazone in nondiabetic subjects with nonalcoholic steatohepatitis
Someone who eats mostly protein and whole foods during weight loss keeps more muscle and feels far better than someone who lives on crackers and coffee
My only suggestion is that you follow a strategic strength training program and a macro-based diet (high in protein) to ensure youre preserving your muscle while losing body weight
That said, GLP-1s are not bad for most people
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A systematic review and meta-analysis of 10 randomized controlled trials that included a total of 316 participants with NAFLD found exercise (aerobic, strength training, or a combination of both) without diet change or weight loss reduced liver steatosis and levels of liver enzymes, LDL-cholesterol, and triglycerides