This includes people taking insulin or sulfonylureas, patients with diabetes, patients on blood pressure medications, patients with kidney disease or dehydration risk, patients with a gallbladder history, patients with significant reflux or gastroparesis symptoms, patients with eating disorder history, and patients who have difficulty meeting protein or fluid needs
The GLP-1 era does not invalidate those capabilities, but it requires something additional that the traditional pathway rarely develops
Weeks 5 to 8 You should see small, steady strength gains, even while losing weight
Gradual titration is essential to minimize gastrointestinal side effects
Who Should Avoid It: Individuals with a personal or family history of medullary thyroid carcinoma, Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or active pancreatitis
Your nutrition and lifestyle choices determine how effectively that environment translates to results