It says people with severe osteoarthritis, inflammatory arthropathies such as rheumatoid arthritis, or significant muscle loss may need a multidisciplinary approach combining medication with physical therapy and rheumatology input
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Obes Rev (2020) 21(11):e13128
Read the study (Hurtado et al., Menopause 2024): A 2025 review by Ushanova and Demidova in Womens Health and Reproduction reached the same conclusion