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Men using TRT lost approximately 11 pounds of fat while gaining 9 pounds of lean mass over 18 months in controlled studies Long-term testosterone therapy produced average weight loss of 36 pounds without dietary intervention in one registry study Meta-analysis of 10 RCTs showed TRT reduced BMI by 0.57 kg/m2 and waist circumference by 2.78 cm in obese men Lean body mass increased by an average of 1.96 kg with TRT in meta-analysis findings Combined GLP-1 and lifestyle intervention reduced lean tissue loss to single-digit percentages of total weight lost Registry studies tracking long-term testosterone therapy outcomes provide particularly valuable data

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