quote:
Correct.

Also not getting it from a doctor that has a good knowledge of the how the drug works. The SO’s doc covered all of this. Encouraged him to continue with his probiotic, increase his fiber for motility assistance, and most importantly to exercise (which also increases gut motility).

He’s had some nausea and initially had some mild diarrhea but hasn’t run into constipation/blockage issues. He’s probably the most normal he’s been in decades in that regard. We’ve had a couple of hypoglycemic drops at night but he’s on a continuous monitor so it’s easy to get out in front of it.

correct and even better is having a doctor that understand the nutrition and muscle/aesthetics/strength portion of the equation

simply put, most of these people going on the large doses right away are going into very very steep caloric deficits. We already know big time caloric deficits cause lean tissue loss, even when protein is decently high when not accompanied by strength training.

well most of these people the article is talking about have no lifestyle interventions, no strength training, are not tracking protein and giber and wonder why they suddenly are skinny but lost 50% of their lean body mass.

Dr Andy Galpin has talked about this a ton and recently Dr Kyle Gillett did a podcast with the Barbell shrugged crew where he talked about this.

if you are thinking about going on a GLP-1 listen to this show before doing it LINK so that you are informed

now i 100% support people using GLP-1 and other obesity drugs. But i support it as part of a full life style change. I.e. nutrition coaching, daily step goals and resistance training coaching. I also believe if you are going to use a GLP-1 it should be used in the presence of hormone optimization. For some that may include testosterone, but atleast a monitoring and a optimization of free test and 100%(outside of those with cancer or those in remission) in all cases the use of ghrh/ghrp to stimulate large amounts of grow hormone to not only aid in the fat reduction, but to help the loose skin issue you see in so many.

i also beleive in minimum effective dosing and beleive you should aim to lose about 4 lbs per month once one is not longer morbidly obese.

the goal in the end should be to be health and better looking. not just health and skinnier with extra skin everywhere.