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At the same time, the literature has gaps: many trials are powered for glycemic or weight outcomes, not for fertility, longterm sex steroid levels, or adrenal function

A study found that slower gastric emptying was a key factor in the increased satiety and reduced hunger experienced by participants taking GLP-1 agonists

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Request comprehensive metabolic panels every 3-6 months that include: ALT and AST: Primary markers of liver cell damage GGT (gamma-glutamyl transferase): Sensitive marker for alcohol-related liver stress Bilirubin: Measures livers ability to process waste products Albumin: Indicates livers synthetic function Elevated GGT combined with normal or slightly elevated ALT/AST is a pattern that suggests alcohol-related liver stress even when other markers look acceptable