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Second, it slows down gastric emptying, meaning food stays in your stomach longer

Octacosanol is the most abundant alcohol in policosanol, which accounts for about 63 percent of this mixture

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This concern matters because preserving muscle supports metabolism, strength, and long-term weight stability

Let me walk you through how I actually think about this with patients, what each of these medications is doing differently, and the specific clinical situations where I'll switch a patient versus where I'll tell them to stay put

However, introducing GLP-1 requires careful consideration of timing, individual readiness, and long-term goals