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GLP-1 receptor agonists also suppress glucagon secretion, slow gastric emptying, and promote satiety through central nervous system pathways, leading to reduced appetite and food intake

With depression as the main issue, providers might increase the dose more quickly if tolerated well

Third, TMAO may potentially disrupt the equilibrium of renal electrolytes and water transport by inhibiting sodium and water reabsorption in the kidneys, resulting in sodium retention and volume expansion, characteristic features of chronic kidney disease (Fang et al., 2023)

It works best alongside healthy habits like good nutrition, regular exercise, and stress management

Some weeks the scale moves

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