keto diet and tirzepatide Combining Ketosis for T2D Remission | Paramesh Shamanna posted on the topic Ketogenic Diet and Brain Health:

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Instead, opt for nutrient-dense meals that support digestion and stabilize blood sugar levels

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Incorporate strength training at least twice a week, and be active in daily routines by opting for stairs over elevators and walking for short errands

Weighing risk versus benefit is key here, but both Levy and Salas-Whalen pointed out that untreated obesity carries risks and shouldn't be overlooked

Prolonged treatment with GLP-1 receptor agonists have also been reported to activate thermogenic fat in humans [91]