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Even outside the context of GLP-1s, disruptions in temperature regulation and menstrual function can make exercise feel harder than usual

Less common but more serious risks include: Pancreatitis, which can cause severe abdominal pain and may require stopping the medication Gallbladder problems, such as gallstones or inflammation, especially with higher doses or longer use Allergic reactions, including swelling or difficulty breathing, which need immediate medical attention Injection site reactions, such as redness or itching, with injectable forms Rare vision changes or worsening diabetic eye disease, especially when blood sugar improves rapidly Anyone with intense abdominal pain, signs of dehydration (such as dizziness or reduced urination), or unexpected vision changes should seek medical advice promptly

Adipose tissue, particularly visceral fat, is metabolically active and produces pro-inflammatory cytokines

Take a look at the recent dialogue I was able to have on the issue with Fox 31s Colorado Conversations

In most states, no video visit is needed