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It could also be because for people who are in very large bodies, you know, joints can be really difficult, and so taking off some of that weight can help with joints

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At the cellular level, GLP-1 receptor activation appears to reduce the production of pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1 beta (IL-1β)