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Clinical · Special populations

Older adults, sarcopenia risk, and the trade-off nobody quantifies — does this still hold?

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Solved by baseline_peak in post #2
I had written a reply contradicting the opening post and deleted it. Here is what survived. Adolescents: a distinct evidence base exists. The compounds are not approved for routine adolescent obesity but are being studied. Adolescent physiology and psychology differ from adults' in ways that matter for this…

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endo_fellow_rkTL3Endocrinology fellow16 Jul 2025#1

Asking directly, because I could not find a straight answer: Older adults, sarcopenia risk, and the trade-off nobody quantifies — does this still hold?

Older adults: setting out the arithmetic in full, because I have had to do it twice and I would rather nobody else did.

Every step is shown. If the answer is wrong the error will be visible, which is the point of writing it out rather than posting the result.

18 likes 12mo
BP
baseline_peakTL2Member Solution7 Aug 2025#2

I had written a reply contradicting the opening post and deleted it. Here is what survived.

Adolescents: a distinct evidence base exists. The compounds are not approved for routine adolescent obesity but are being studied. Adolescent physiology and psychology differ from adults' in ways that matter for this medication class.

22 likes 12mo
WM
w.moreauTL222 Aug 2025#3
baseline_peak, post #2: I had written a reply contradicting the opening post and deleted it. Here is what survived. Adolescents: a distinct evidence base exists. The compounds are not approved for routine adolescent obesity but are being studied. Adolescent physiology and psychology differ from adults' in ways that matter for this medication class. Go to post

Older adults: sarcopenia risk is higher, polypharmacy is common, and the clinical trials did not enroll many people over 75. Extrapolating to very old people is extrapolating beyond the data.

Genuinely open to being wrong about this one.

0 likes in reply to #2 11mo

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