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Nausea, diarrhea, decreased appetite, vomiting, constipation, indigestion (dyspepsia), and stomach (abdominal) pain have been reported

BMJ Open Diabetes Res Care 8(1):e001025

We finally have drugs that produce 15 to 20 percent body weight loss, that reduce cardiovascular events by 20 percent the SELECT trial proved that in over 17,000 patients and that are genuinely bending the national obesity curve downward for the first time in decades

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Practical Application Start with vegetables and protein (stimulates early GLP-1 release) Follow with complex carbohydrates (sustains GLP-1 secretion) End with fruit or small dessert (if desired) Protein: 25-30% of calories Fiber-rich carbohydrates: 40-45% of calories Healthy fats: 25-30% of calories Breakfast: Greek yogurt with berries, ground flaxseed, and almonds Lunch: Grilled salmon over mixed greens with quinoa and olive oil dressing Dinner: Chicken breast with roasted vegetables and sweet potato This macronutrient distribution provides the protein and fiber necessary for GLP-1 stimulation while supporting stable blood sugar levels already within normal range