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Gut microbiota Largely unknown long-term effects we are changing diet quantity more than quality The paradox Are we treating disease or pharmacologically compensating for a toxic food environment

In the U.S., weight loss medications like Wegovy and Zepbound are often excluded from insurance coverage, leaving patients to bear the full brunt of the cost

That stronger satiety signal lowers food reward and cravings, while slowing gastric emptying gives you a longer, fuller feeling after meals

The GLP1 dose is high, but their weight loss has plateaued

Prioritising adequate protein intake (approximately 11.2 g/kg/day) often helps sustain progress without unnecessary dose escalation