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Phase two (weeks 5 and beyond): introduce acacia fiber or PHGG while maintaining your baseline fiber supplement

The recently launched SELECT cardiovascular outcomes trial is the first of its kindevaluating the cardiovascular benefits of weekly semaglutide in patients without diabetes but with a higher BMI (NCT03574597)
The motivation to go to the gym can start to fade because if the scale is already moving, people start to wonder, do I really need to work out as much

Akkermansia muciniphila: paradigm for next-generation beneficial microorganisms Nature Reviews Gastroenterology and Hepatology 2022;19(10):625-637 doi:10.1038/s41575-022-00631-9 (Review) Written by Ali Rza Akn Microbiome Scientist, Author & Founder of Next-Microbiome Ali Rza Akn is a microbiome scientist with nearly 30 years of experience in translational biotechnology, systems biology, and applied microbiome research, spanning discovery, preclinical development, and clinical-stage translation

This perspective removes the pressure to 'graduate' from treatment and instead emphasizes sustained metabolic support as a health investment

This can lead to fewer cravings, smaller meal portions, less food noise or preoccupation with food in your head, better insulin sensitivity, and improved gut health
