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There's a so-called lean but distended gut

If in a liquid form, refrigeration may be necessary

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Focus on: Lean protein at each meal to stabilize blood sugar and preserve muscle mass High-fiber carbohydrates such as whole grains, legumes, and vegetables to slow glucose absorption Healthy fats including olive oil, avocados, and nuts Adequate hydration , ideally 64 oz (2 liters) of water or more daily Smaller, frequent meals rather than large portions, especially during dose escalation Foods to limit include sugary beverages, refined carbohydrates, and ultra-processed foods, which contribute to glucose spikes and can blunt the medications benefits