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The same protein-first, scheduled-eating strategy that applies to GLP-1 alone applies to the combination, but with extra attention to caloric floor (1200-1400 for women, 1500-1800 for men) and protein intake (1.2-1.6 g per kg body weight daily)

Its also important to note that some drugs can affect the absorption of cobalamin, including neomycin, potassium chloride, para-aminosalicylic acid, and colchicine

Get a protein bar for snacks and baked fish with roasted vegetables for dinner

at starting, this would be a 20 lb

Patients should be educated about gradual dose titration to minimize gastrointestinal side effects