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Gallaher says
DPP-4 inhibitors represent an alternative incretin-based approach and include: Sitagliptin (Januvia) Linagliptin (Trajenta) Saxagliptin (Onglyza) Alogliptin (Vipidia) Vildagliptin (Galvus) These oral medications work by preventing the breakdown of natural incretins rather than directly mimicking them
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Consult a registered dietitian or your healthcare provider if: You are losing more than 3 pounds per week consistently (may indicate excessive restriction) You cannot keep any food down for more than 48 hours You experience persistent gastrointestinal symptoms that do not improve after four weeks at a given dose You have a history of eating disorders (semaglutide appetite suppression can trigger disordered patterns) You have diabetes and are struggling to balance blood sugar with dietary changes Blood work reveals nutrient deficiencies despite supplementation You experience significant hair loss, which can indicate protein or nutrient deficiency (see our guide on GLP-1 and hair loss ) You hit a weight loss plateau lasting more than four weeks despite dietary compliance If you are struggling with results, understanding what to do when semaglutide does not work after four weeks often comes down to dietary optimization
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Focus on nutrient-dense foods that provide essential vitamins and minerals, including magnesium, potassium, and calcium, which support muscle function
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