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Using the right dose, administering it properly, and keeping track of your progress gives you the best shot at managing your weight

Controlled manufacturing standards

Keep a simple log for your first 4 weeks: note what you ate before your injection, the size and timing of meals afterward, and any nausea or bloating you experienced

The attraction of certain foods decreases after RYGB (60) and appetite may be altered by enteroendocrine secretion (61, 62)

The inclusion of carbohydrates in meals has been shown to blunt this hormonal response, undermining the benefits of protein and fat on GLP-1 levels

In patients also taking insulin, sulfonylureas, or metformin, this can be life-threatening