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Many providers are now proactively ordering nutrient panels alongside metabolic labs, recognizing that maintaining nutritional adequacy is essential for the safety and sustainability of long-term GLP-1 therapy
B12 deficiency after gastric bypass surgery
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Orthostatic hypotension is particularly prevalent in older adults, individuals with diabetes (due to autonomic neuropathy), and those taking multiple antihypertensive medications
Smaller, more frequent eating keeps blood sugar stable, provides consistent amino acid availability, and avoids the extended post-meal sluggishness that comes from large meals sitting in a stomach with delayed gastric emptying
Their major mechanisms of action are slowing of gastric emptying, hunger suppression, increased insulin and decreased glucagon secretion from the pancreas
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