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J Clin Endocrinol Metab 2007 Nov: 92(11): 41016 Hoybye C, Hilding A, Jacobsson H, et al

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Physical Activity Guidelines recommend at least 150 minutes of moderate-intensity aerobic activity weekly, plus muscle-strengthening activities on 2 or more days per week

Not always as dramatic as injection results, but meaningful enough to warrant the approach for patients who refuse or cannot tolerate injections