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patients describe a quietening of what many in the clinical community now refer to as food noise, the persistent neurological signal that drives overconsumption independent of genuine caloric need

If youre concerned about side effects, talk to your provider about managing your dose , which includes starting at the lowest dose and increasing it slowly over time While side effects are a big concern for the GLP medications, most people find that side effects are manageable, says Sarah Stombaugh, MD , a family medicine physician and a diplomate of the American Board of Obesity Medicine

Conclusion Is the prescription of a lifelong expensive therapy medication in the best interest of a patient

Supplements like psyllium husk can help

Creatine supplementation helps maintain intramuscular energy stores (phosphocreatine), which supports continued muscle protein synthesis even when overall energy intake is reduced

Now we have understood the disease, not completely but much better