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Some patients need a different medication (like tirzepatide instead of semaglutide) or a dual-compound approach
Its important to talk to a doctor to make sure semaglutide and fasting are safe for you
Through its role in insulin regulation, semaglutide indirectly affects overall hormonal balance
For example, mitochondrial muscle diseases cause NAD + deficiency, detectable both in the muscle and blood 15,16
Once your side effects subsides, you can gradually reintroduce more fiber back into your diet until you are enjoying a moderate, but not excessive, amount
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