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This is common as the body starts to adapt to the medication, but it usually improves after the first few days

Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus

As an example of a combined GLP-1 + FIM intervention, eligible patients could receive both GLP-1 therapy and a FIM intervention emphasizing foods to support weight maintenance, reduce side effects, minimize loss of muscle and bone mass, and promote nutrient adequacy

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That sequencing decision belongs to the prescriber

Both medications promote weight loss, and excessive or rapid weight reduction can lead to complications such as gallstone formation, nutritional deficiencies, and loss of lean muscle mass