Weight-loss drug found to shrink muscle in mice, human cells

I'm not commenting specifically on the heart-muscle aspect of the study, but it shouldn't be a surprise that the weight loss from this drug is significantly attributable to muscle loss; it almost always is when dieting. It's the same with keto/low-carb or any other kind of caloric-restrictive dieting (which Ozempic facilitates).

The modern weight-loss programs I'm seeing now (at least those aimed mostly at middle-aged men) emphasize consuming significant amounts of protein (2g for every 1kg of body weight each day) and engaging in regular resistance training, in order to maintain muscle mass.

The article addresses this:

To keep muscle strong while losing weight, Prado says it is essential to focus on two main things: nutrition and exercise. Proper nutrition means getting enough high-quality protein, essential vitamins and minerals, and other “muscle-building” nutrients. Sometimes, this can include protein supplements to make sure the body has what it needs.

Perhaps there needs to be more formal research into this, and a strong recommendation made to everyone using these drugs that this kind of diet and exercise plan is vital.

Whilst it is 95% calories in calories out, keto (not low carb, as low carb doesn't include high fat) can be good for muscle retention whilst in a defecit - as more foods that you consume naturally have higher protein (I utilise keto when looking to drop body fat, consuming a lot of slightly higher fat cuts of meat as a replacement for the carb calories, so chicken thighs instead of breast, 10% ground beef,etc). The higher fat content correlates to higher testosterone count, and higher protein means greater muscle retention.

Carbs are harder to control for many people, and less forgiving. A side effect of keto is decreased appetite. A side effect of carbs is overeating.

Only when "carbs" is a euphemism for junk food. Which probably exists because Americans don't eat carbs like beans and broccoli. And instead of eating them, they get told online that they should avoid all carbs.

It's a devious euphemism that screws the people over the most that should be eating more beans and broccoli (et al).

Carbs is also colloquialism for calorie dense grains and cereals. Broccoli is like 5% carbs by mass. Bread is 50% carbs by mass. It is a hell of a lot easier to overconsume the latter, spike your insulin, and get into a cycle of cravings.

There is no boogie man trying to scare people away from broccoli.

> There is no boogie man trying to scare people away from broccoli

I disagree, everyone I know who has been on a keto dietic consumes little to no fruits or fiber. Honestly, I'm not sure how they use the bathroom successfully with such little fiber ingestion.