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That is helpful, but it creates a new challenge

The GLP-1 receptor agonist dose should be lowered and patients should be encouraged to increase meal size and frequency

But here's what's being overlooked: GLP-1 activation reduces inflammation in arterial walls, slows atherosclerotic progression, and improves cardiac function independently of weight loss itself

Alternative Pharmacotherapy : Other weight loss medications may present different risk profiles: Phentermine-topiramate (Qsymia): Combination therapy with different mechanisms

Some patients regain weight with complete discontinuation but maintain results on micro-doses

Studies have shown that allulose is well tolerated in children at doses of 2.5 to 4.3 grams per 120 ml, making it a good candidate for replacing added sugars in commercially produced goods for children