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GLP-1 therapy typically cuts daily energy intake by 1639%, and a 2026 review of 480,825 adults found more than 60% of users falling below requirements for calcium and iron, with vitamin D intake averaging just 20% of recommendations (Urbina et al., Clinical Obesity 2026)

Professional oversight becomes even more critical when transitioning between different medications or treatment approaches

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So thats where I think the patient, youre using GLP-1s as a first line agent for weight loss in patients with existing conditions such as pre-diabetes, obstructive sleep apnea, heart failure, heart disease

You can also lose muscle mass if you dont eat enough while taking the drug