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Expect some keto flu symptoms even with electrolyte supplementation, but they will be milder than starting keto from scratch

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In clinical studies, efinopegdutide achieved a significantly greater reduction in liver fat content compared to the GLP-1 RA semaglutide, with a least square mean relative decrease of 72.7% versus 42.3% at week 24 (Romero-Gmez et al

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Nadolsky says that for some of his patients at the highest dose of tirzepatide, the drug is sometimes "dampening that dopamine reward system down so much that now, instead of just getting away from those addictive behaviors, they don't feel like doing anything." Some of those high-dose patients start seeking out sugar, not due to cravings, he says, but because their bodies are searching for some kind of stimulation to get the reward system going again