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Peer review Peer review information Nature Reviews Rheumatology thanks Helena Marzo-Ortega, who co-reviewed with Jacob Williams

With GLP-1 drugs, the goal for nutrition has shifted from calorie restriction to calorie quality

This treatment approach of considering cardiorenal protection even in early disease stages had already been proposed by the American College of Cardiology in 2019 and has since been included in new updates of various Spanish consensus documents [10,11,12]

Combined with a required membership fee of $49$79/month, the true monthly cost comes to around $148$178, which is still among the most affordable all-in options available