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Adding traditional fasting on top may amplify metabolic stress, raise hypoglycemia risk, or cause electrolyte imbalances unless a qualified provider is monitoring, which is why the post treats fasting as a supervised decision
Of particular concern are gastrointestinal complications like gastroparesis (stomach paralysis), which can cause severe nausea, vomiting, and difficulty digesting food
Oxidative Medicine and Cellular Longevity , 2013 .
Summary: There is no official recommendation for routine vitamin supplementation for all GLP-1 users
1.3% with placebo 84% achieved 5% weight reduction (vs
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