These findings highlight the critical balance of GSH synthesis and cysteine redox state in regulating oxidative stress, fibroblast behavior, and fibrotic progression

Food Choices: What to Favor and What to Avoid Grilled chicken breast, turkey Fish and seafood (salmon, cod, shrimp) Eggs and egg whites Greek yogurt and cottage cheese Beans, lentils, and legumes Lean beef (sirloin, 93% ground) Protein shakes (when appetite is suppressed) Leafy greens: spinach, kale, romaine Broccoli, cauliflower, Brussels sprouts Whole grains: brown rice, quinoa, oats Chia seeds (fiber + protein in small portions) Apples, pears, berries Beans and legumes (fiber + protein) Avocado Olive oil Nuts and seeds Fatty fish (salmon, mackerel) Sodas and sweetened drinks Fruit juices and sports drinks Sweetened coffee drinks Candy, pastries, flavored yogurt Packaged snack foods with added sugar Fried foods (worsens nausea significantly) Fast food Fatty processed meats Chips, crackers, refined snack foods White bread, white pasta, white rice Alcohol (amplifies GI side effects) Spicy or highly acidic foods Large, heavy meals High-fat, high-sodium fast food Unsaturated fats from olive oil, avocado, and fatty fish may support GLP-1 secretion and provide important fat-soluble vitamins (A, D, E, K)

Patients should: tell their prescriber if they are planning a pregnancy use appropriate contraception where advised stop treatment and seek medical advice if pregnancy occurs discuss alternative treatment when semaglutide is being used for diabetes avoid using GLP-1 medicines during breastfeeding unless specifically advised by an appropriate clinician The MHRA advises that GLP-1 medicines should not be used during pregnancy, while trying to conceive or during breastfeeding because there is insufficient evidence to establish safety for the baby
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