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Prevention strategy: Include healthy fats at every meal despite appetite suppression
GLP-1s change your appetite and metabolism faster than most people can adapt
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The primary long-term considerations are GI tolerability (which tends to improve over time), liver function monitoring (berberine can occasionally elevate liver enzymes, particularly at higher doses), and the persistent CYP450 inhibition that requires ongoing awareness of medication interactions whenever the medication list changes
Having high-protein meals with adequate fiber is important for keeping you fuller longer
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