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In response to these challenges, the Muscle maintenance, Energy balance, Avoid side effects, Liquid intake (MEAL) plan has recently been proposed as a structured nutritional framework specifically designed to support patients undergoing GLP-1 RA therapy, such as semaglutide [88, 89]
[1] [2] Age and renal function: Whilst semaglutide does not require dose adjustment for renal impairment, patients with chronic kidney disease may experience gastrointestinal side effects differently
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However, Naltrexone helps reduce cravings and increases fat-burning potential, supporting a more comprehensive weight loss approach
