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17 In addition to these findings, the SUSTAIN-6 trial also showed that semaglutide can offer a significant reduction in the risk of new or worsening nephropathy including persistent macroalbuminuria, increase in serum creatinine or the need of renal replacement therapy

They are showing up as "lean mass loss" because the technology can't see the difference

You accumulate fatigue you cannot recover from, performance spirals, and muscle loss accelerates

Foods to prioritise for their fibre content and overall nutritional value include: Whole grains : Oats, barley, quinoa, brown rice, wholemeal bread, and whole-wheat pasta provide sustained energy and both types of fibre Legumes : Lentils, chickpeas, black beans, and kidney beans offer protein alongside substantial fibre content Vegetables : Broccoli, Brussels sprouts, carrots, sweet potatoes, and leafy greens supply vitamins, minerals, and fibre Fruits : Berries, apples (with skin), pears, oranges, and kiwi fruit provide soluble fibre and antioxidants Seeds and nuts : Chia seeds, flaxseeds, almonds, and walnuts offer healthy fats alongside fibre (keep to a small handful for portion control) Psyllium husk : A concentrated fibre supplement that can be added to smoothies or yoghurt (take with plenty of water and separate from other oral medicines by at least 2 hours) Foods to limit or avoid , particularly during the initial treatment phase or when experiencing digestive symptoms: Ultra-processed foods : These typically contain minimal fibre and may worsen blood glucose control High-fat, greasy foods : These can exacerbate nausea and slow digestion further, compounding GLP-1 effects Excessive simple sugars : Sweets, sugary drinks, and refined carbohydrates offer no fibre and may cause blood glucose fluctuations Alcohol : This can increase nausea risk and provides empty calories that may undermine weight management goals