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These could indicate a more serious condition

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In Australia, prescriptions for medications such as Ozempic and Wegovy have increased sharply in recent years

This is sometimes referred to as sarcopenic obesity, or "skinny fat." Individuals may appear thin or have a normal body weight but the combination of body fat relative to low muscle mass is associated with increased health risks, similar to those seen in both obesity and sarcopenia (e.g., insulin resistance, type 2 diabetes, cardiovascular disease, and decreased physical function and mobility)