Scenario 3: Perimenopausal woman on oral HRT switching to GLP-1 You are 47, in perimenopause, currently taking oral estradiol 1 mg daily and oral micronized progesterone 100 mg nightly
vitamin D intake ~20% of recommendations Lean mass risk: protein + calcium insufficiency may contribute, alongside other drivers B-vitamins: thiamine and cobalamin deficits appear to increase over time Clinical takeaway (my approach): GLP-1s dont cause malnutrition in everyone but they can unmask risk in the wrong context (older adults, low-protein diets, restrictive eating patterns, prolonged nausea/vomiting, rapid weight loss, post-bariatric patients)
However, results aren't guaranteed due to inconsistent quality and dosing between different compounding pharmacies
Tc ng ln d dy: GLP-1 lm chm qu trnh lm rng d dy, gi thc n trong d dy lu hn
These are population-level outcomes, not personal guarantees