Avoid ultra-processed, greasy, spicy, or overly rich foods, which can irritate the stomach
Baseline laboratory evaluation should include HbA1c (for diabetes patients), comprehensive metabolic panel, lipid panel, and thyroid function tests if clinically indicated
This balancing act is critical because glucagon classically raises blood glucose (opposing insulin's effects), but when combined with GLP-1 agonism, the glucose-raising effects are counteracted while the metabolic benefits of increased energy expenditure and hepatic fat burning are preserved
Niacin receptors (HCAR2) on microglia respond to butyrate and other SCFAs, triggering anti-inflammatory signaling [116]
If I have my injections on the afternoon I count sleep out until the early hours of the following morning