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It also isn't suitable if you have severe gastrointestinal disease, a history of pancreatitis, or if you're already on a similar medication such as Ozempic, Saxenda, or another GLP1. Our clinicians review your full medical history during your consultation to make sure it's safe for you

Changes in appetite and meal timing Active weight loss often shifts your eating pattern

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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)