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This is not because they have evaluated and rejected split dosing
When a step-up changes the week, the comparison to the dose week before becomes obvious instead of vague

In contrast, direct evidence for sermorelin plus semaglutide in weight management is sparse

However, in clinical trials, the significant weight loss brought about by GLP-1RAs is usually accompanied by an absolute decrease in fat-free body mass or skeletal muscle mass [55]
