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We agree! Keeping both sugars down is a good option, but it is difficult to avoid all sugar in life - hence, get added sugars to zero and set limits on "natural" sources of sugar. If we are broadening to sources of food rather than just sugar, since we don't usually eat just sugar, then natural sources tend to be healthier foods.

Thanks for the comment! We followed up with Dr. Pong and here's what he had to say: "GLP-1RAs, such as liraglutide and semaglutide, are effective in inducing significant weight loss, and the proportion of lean mass loss relative to total weight loss can vary. Some studies report that lean mass loss constitutes 40-60% of the total weight lost, while others show a lower proportion, around 15% or less. This variability can be attributed to differences in study populations, drug-specific effects, comorbidities, and the approach taken with diet and exercise. You are quite right - Rapid weight loss through caloric restriction or fasting can also lead to significant lean mass loss. This is not just a drug-effect. The "new" problem is that GLP-1RA's are allowing far more people to achieve significantly lower caloric intake and weight loss without necessarily making adjustments to their protein intake or exercise program. Given that these medications require a prescription from a medical provider, the value we add is in providing the information and tools needed to have a successful outcome and to avoid the pitfalls." I hope this helps! Always feel free to drop a question in the comment section.