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These findings are further supported by another sub-analysis of SURMOUNT1, which reported a 33.9% (8.2% for placebo) reduction in fat mass and a 10.9% (2.6% for placebo) reduction in lean mass by week 72, with approximately 75% of weight loss attributable to fat mass, consistent across clinically relevant subgroups [68]

the pilates classes are on mat so I wasnt sure how effective they would be but they are more challenging and have given me better results than reformer Pilates

While this pain is usually benign, linked to hormonal changes, its important to consult with a healthcare practitioner if you experience new, persistent, or worsening symptoms to rule out other causes such as cysts, fibrocystic changes, or rarely, breast cancer

What can you take instead

You can read the abstract of this article atEffects of Exercise, Diet and Weight Loss on High Blood Pressure PubMed (nih.gov) Obesity and being obese are strongly correlated with arterial hypertension, also referred to as high blood pressure