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The combination of compounded GLP-1 therapy plus modest dietary optimization (including allulose if you prefer it) is the evidence-based approach

This is especially true for medications that require a fat-heavy diet, as fat slows gastric emptying and can contribute to sulfur burps
They have also been shown to have beneficial effects on cardiovascular (CV) risk factors by improving obesity, hypertension, and the lipid profile (Drucker, 2018)

Your prescriber uses your response at each dose level to determine when and whether to escalate

Researchers recognised that at controlled doses, the glucose-lowering properties could be harnessed for medical benefit
