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Tomiyama AJ, Carr D, Granberg EM, Major B, Robinson E, Sutin AR, et al

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High-Sugar Foods and Drinks : Sugary snacks, sodas, and desserts can cause blood sugar spikes, undermining the blood sugar control benefits of GLP-1 meds

References NIH: GLP-1 Receptor Agonists Cleveland Clinic: GLP-1 Agonists AJMC: Top GLP-1 Agonists GoodRx: GLP-1 Drugs Comparison Mayo Clinic: Byetta FAQ

The other direction is the weight-loss industry, which discovered an extraordinarily powerful molecule and immediately optimized it for speed and volume

But it is not the same as saying berberine is a natural alternative to GLP-1 medications
