Clin Sports Med 11(3):645659 Woodley BL, Newsham-West RJ, Baxter GD (2007) Chronic tendinopathy: effectiveness of eccentric exercise
Your provider should evaluate potential underlying causes, including thyroid function tests, vitamin B12 levels (especially if you take metformin), complete blood count, comprehensive metabolic panel, A1C, and screening for depression or sleep disorders
GLP1-RA treatment-associated decrease in the risk of depression or anxiety in DM patients may be driven by combinations of anti-inflammation, better glycemic control, greater weight loss, and reduced concern about weight gain (Bode et al., 2010)
doi: 10.1016/j.pharep.2014.07.002
Less muscle also means slower metabolism, which could blunt long-term success and increase the likelihood of rebound weight gain when the medication is stopped