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Participant selection will be based on the inclusion and exclusion criteria described below

This minimizes variables and allows for clearer monitoring of any changes once GLP-1 therapy begins

Transitioning from an active lifestyle in the military to a more sedentary civilian life can impact weight

Benefits Beyond Weight Loss: Metabolic and Cardiovascular Health Cardiovascular risk reduction semaglutide reduced major cardiovascular events by 20% in the SELECT trial Blood sugar control significant HbA1c reductions in patients with type 2 diabetes or prediabetes Reduced liver fat growing evidence supports GLP-1 therapy for NAFLD and MASLD Sleep apnea improvement tirzepatide demonstrated 63% reduction in apnea-hypopnea index (2024 NEJM trial) Fatty Liver Disease & GLP-1 Therapy Patients with NAFLD/MASLD may see significant improvement with GLP-1 treatment

If considering a probiotic supplement, discuss with your healthcare provider first, particularly if you have a compromised immune system