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My suspicion is that most people regain the weight because the treatment was short-term, focused on weight loss rather than developing better habits, and resulted in loss of muscle, which reduces your basal metabolic rate and makes you more likely to gain weight

4 However, prescribing GLP-1RAs to lower BMI before surgery aligns with emerging evidence that this approach can help patients reduce weight and lower postsurgical risks

Some patients regain 1 to 3 pounds during this transition