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However, myalgia does occur in some patients, particularly during dose escalation or rapid initial weight loss phases, and typically resolves within days to weeks

10.1016/s0304-3940(98)00730-7 48 ZygmuntP

Regular physical exercise, specifically aerobic exercise, can help slow memory loss and improve mental function

Thats most likely because during the training, lactic acid flooded your muscles and caused complete muscle fatigue

Compared to the other trials investigating GLP-1RAs, the ELIXA trial included T2D patients with recent acute coronary syndrome (ACS), suggesting that perhaps their CV risk was too severe to demonstrate a simple decline in CV events via short-term pharmacological intervention