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A: Possibly, but evidence is limited

However, other reports supported an inverse relationship 35,36,37,38

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Amgens MariTide achieved 20% weight loss at 52 weeks with monthly dosing, and Vikings VK2735 delivered 8.2% loss in a pill format, signaling credible alternative mechanisms

For some people there may only be one factor at play a rapid increase in training load for example whereas for other there may be multiple risk factors: A high number of weekly training sessions and/or a rapid increase in training volume or intensity