Strategies to mitigate muscle loss include: Prioritizing protein at each meal before other macronutrients Incorporating resistance training at least 23 times weekly Monitoring body composition, not just scale weight Working with your healthcare provider if side effects prevent adequate nutritionnever adjust medication doses on your own Contact your healthcare provider immediately if you experience: Severe or persistent nausea, vomiting, or abdominal pain Signs of dehydration (extreme thirst, dizziness, dark urine) Low blood sugar symptoms (if taking insulin or sulfonylureas) Inability to eat or drink for more than 24 hours Selecting appropriate protein sources is essential for patients on GLP-1 therapy, particularly given the reduced appetite and early satiety these medications produce
But for me as a doctor, what I'm concerned about is that this fat is inflammatory and metabolically active, and it is driving risk for cardiovascular disease type two [00:05:00] diabetes, fatty liver disease
That includes testosterone levels, glycaemic markers (HbA1c, fasting glucose), lipid profile, blood pressure, body composition, and screening for adverse effects of Hormone Replacement Therapy (HRT)
Lancet Diabetes Endocrinol (2014) 2:1115
