Semaglutide mimics GLP-1, a hormone that helps increase insulin response after meals, slows digestion, reduces appetite and increases feelings of fullness
What the trials did find is a modest but consistent increase in resting heart rate
I want to get weight off people so they feel better I do motivational interviewing for diet changes along with educationI have had some success once the weight is off and hope has been restored. Preventing muscle loss on GLP-1s: nutrition and exercise A majority of polled Sermo members believe that proactive counseling on nutrition and exercise is important to mitigate the risk of muscle loss on GLP-1s
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That's in addition to, as mentioned by Gambit, excess alcohol causing issues with the liver which is the primary bodily store of B12