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Given this huge number, NHS England requested a funding variation to extend the time needed to comply with the recommendations, which NICE accepted

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The review concluded that while creatine supplementation has not been studied directly in a GLP-1RA population, the existing evidence supports daily creatine supplementation with resistance training as part of a comprehensive GLP-1RA care plan

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doi: 10.1210/en.2010-0115

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