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Spironolactone is weight-neutral

doi: 10.3389/fendo.2019.00155 [PMC free article] [PubMed] [CrossRef] [Google Scholar] Diabetes Obes Metab

The good news from emerging research is that tirzepatide may actually improve muscle quality even as total lean mass decreases

And every step assumes the raw powder is actually what the label claims

This trade-off exists whether using branded or compounded medications
