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The reason is because they will know how much and what types of food they have eaten, so the insulin-dose calculation using carbohydrate counting or other means will be more accurate

Niazi and Chatham list several common symptoms that occur when starting GLP-1s or with dose adjustments: Nausea or vomiting Diarrhea or constipation Heartburn or bloating Fatigue Dehydration Muscle loss Some patients may also experience hair thinning with higher doses for prolonged periods, especially when paired with low-calorie intake

Most protocols recommend taking time off after a cycle to allow the body to reset

K., Marimuthu, P., Sarkar, A., & Chaudhuri, R

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Skipping multiple weeks can lead to loss of weight loss progress and metabolic adaptation that makes subsequent weight loss harder