editorial, evidence-review, safety, glp-1, body-composition
How much muscle do you lose on GLP-1 drugs? What the body-composition data actually show
Roughly a quarter to two-fifths of the weight lost on semaglutide or tirzepatide is fat-free mass, not fat. Here is what the trial DXA data really say, why the number is easy to misread, and what the 2025-2026 muscle-preservation trials — BELIEVE, EMBRAZE, and COURAGE — have and have not shown.