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The review also notes a temporary worsening of diabetes-related retinopathy during rapid glycemic improvement, an increased aspiration risk from delayed gastric emptying, and the need to protect against nutritional deficiencies and loss of muscle or bone mass during rapid weight loss

(2) vigilant monitoring for appetite-related maladaptive responses, including food aversion and dehydration

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Ideally, the medication should help you feel like you can eat more intuitively without feeling like you are on a diet. What foods to avoid while taking a GLP-1 There arent really any foods you need to completely avoid, but if you are experiencing side effects like nausea and acid reflux while taking a GLP-1, you might want to limit foods that dont help you feel your best