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JAMA Psychiatr 70(1):4958

The red swollen mark (also known as wheals) can range from a few millimeters to the size of a hand or even larger

And it has many social, commercial and environmental determinants, requiring action in many sectors not only in the clinic. These other determinants of obesity, such as a food environment rich in high sugar, fat, and salt foods, mean that the global overweight or obese population is expected to reach 60% by 2050

Notably, concerning body composition and muscle health, existing evidence suggests that weight loss associated with exenatide is primarily attributable to reductions in fat mass, whereas lean body mass is largely preserved [74]

It might even do more than that