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McMurray JJV, Solomon SD, Inzucchi SE, Kber L, Kosiborod MN, Martinez FA, Ponikowski P, Sabatine MS, Anand IS, Blohlvek J, Bhm M, Chiang C-E, Chopra VK, de Boer RA, Desai AS, Diez M, Drozdz J, Dukt A, Ge J, Howlett JG, Katova T, Kitakaze M, Ljungman CEA, Merkely B, Nicolau JC, OMeara E, Petrie MC, Vinh PN, Schou M, Tereshchenko S, Verma S, Held C, DeMets DL, Docherty KF, Jhund PS, Bengtsson O, Sjstrand M, Langkilde A-M

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That creates a knock-on effect: Muscle loss when protein intake drops too low Fatigue from missing essential micronutrients Mood swings and cravings from unbalanced intake Dehydration, which GLP-1 side effects like nausea can worsen What you consume on a GLP-1 medication matters just as much as the medication itself

Alcohol interacts with sleep, stress hormones, and mood in ways that can reinforce the cycle