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A reasonable transition approach is to move from strict keto (under 25 grams net carbs) to a low-carbohydrate diet (50 to 100 grams net carbs) that is less restrictive but still meaningfully below the carbohydrate intake that drove the original weight gain
Prevent it with: Adequate post-injection carbs (e.g., Clean Carbs) Avoiding fasted training unless specifically adapted Monitoring symptoms if using with insulin, MK-677, or low-carb diets 2
Individuals taking semaglutide must inform their healthcare provider before a procedure or surgery requiring general anesthesia or deep sedation to avoid complications
Veterinary dermatology, 19(1), 714
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