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Understanding whether your fatigue stems directly from the medication or from secondary effects like inadequate nutrition or dehydration is essential for appropriate management

According to a joint Advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and The Obesity Society, a daily protein intake of 1.21.6 g/kg adjusted body weight, should be considered in individuals initiating GLP-1RA therapy, particularly when caloric restriction is prescribed

Youre just heating what you planned

Until we know more, you shouldnt use it while nursing

They also provide common sense advice that patients with diabetes and CKD should be treated with a comprehensive strategy to reduce risks of kidney disease progression and cardiovascular disease: Adjust type and doses of medications according to kidney function