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For people with elevated BMIs, it may be worth doing a trial of lifestyle interventions, such as diet and exercise, before adding a medication to the treatment, says Dr

When your stomach is very full, food can move slowly

A 2026 narrative review in Clinical Obesity by Urbina and colleagues, which pooled six studies covering 480,825 adults, found that more than 60% of GLP-1 users consumed below estimated requirements for calcium and iron, and that average vitamin D intake landed at just 20% of recommendations (PubMed: 41549912)

Adding electrolyte packets (sodium, potassium, magnesium) to water during the first two weeks can improve hydration efficiency without adding calories or sugar