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de Boer IH, et al

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Timing strategy: Do not try to drink large volumes at once, especially if you are experiencing nausea

This is a common pattern of somewhat lower weight loss with GLP-1-based therapies in patients with diabetes

From there, a few small shifts can go a long way: reintroducing anchor meals, focusing on protein at each meal, adding fiber gradually, and consider adding electrolytes to water, when needed, especially when sweating or losing extra fluid

[6] [7] For women with diabetes, baseline risks may be elevated due to hyperglycemia itself, with poorly controlled diabetes associated with increased rates of congenital malformations, particularly cardiac and neural tube defects