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Vomiting more than 2 to 3 times in a single day

The nutrients that trigger GLP-1 secretion are macronutrients simple sugars (monosaccharides), peptides and amino acids (from proteins), and short chain fatty acids (from fats and also produced by good gut bacteria)

Papazoglou AS, Moysidis DV, Tsagkaris C, Vouloagkas I, Karagiannidis E, Kartas A, et al

This includes individuals with: Diagnosed MASLD or MASH, where GLP-1 therapy may offer therapeutic benefits but requires monitoring Chronic viral hepatitis (hepatitis B or C), particularly if transaminases are elevated Autoimmune hepatitis or other inflammatory liver conditions Cirrhosis or advanced fibrosis, where specialist consultation may be appropriate despite generally not requiring dose adjustment History of drug-induced liver injury from other agents For these patients, baseline comprehensive liver assessmentincluding liver enzymes, synthetic function tests (albumin, INR), and potentially imaging or non-invasive fibrosis markers (such as FIB-4 or ELF)helps establish a reference point for monitoring treatment effects

Remember, a holistic approach that combines diet, exercise, and medical intervention (if appropriate) usually leads to the best and most sustainable results