Prescribers should be notified if clients experience hypoglycemia so they can lower the dose of the medication thats likely contributing most to hypoglycemia (insulin or sulfonylurea) or omit it altogether
Mechanism deep dive: Attia #337 with Ralph DeFronzo, insulin resistance masterclass What this means in practice For most people, the fastest return comes from the lifestyle foundations: (1) movement, (2) fat loss where appropriate, and (3) reducing glucotoxicity
Butyrate crosses the blood-brain barrier and has documented effects on appetite regulation, neuroinflammation, and mood
What to Ask Your Healthcare Team If you are taking or considering a GLP-1 medication, consider discussing: Baseline lab testing (vitamin D, B12, iron, calcium, magnesium) Follow-up testing within 3 to 6 months Referral to a registered dietitian A personalized exercise plan that includes strength training Bone density evaluation if appropriate Ongoing monitoring of dietary intake and hydration Proactive care can help identify and address potential issues early
