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Those with medullary thyroid cancer history, multiple endocrine neoplasia syndrome type 2, pancreatitis, or severe gastrointestinal disease should discuss alternatives with their provider for added safety

For youth with more severe obesity or obesity-related medical complications, medications such as GLP-1 and, in appropriate cases, MBS should be considered as additional evidence-based treatment options, not as replacements for healthy behaviors, but as tools that help young people achieve better health outcomes. Ultimately, Messiah argues that success should not be measured solely by the number on the scale, but should also consider improvements in blood pressure, diabetes risk, liver health, physical function, mental well-being, and quality of life

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Timing and Frequency for a 2-4x Per Week GBC Training Cycle GBC training emphasizes high-intensity, short-rest interval workouts that boost cardiovascular efficiency while building lean muscle