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Key Takeaways Up to 1 in 5 people using GLP-1 medications develop nutritional deficiencies within 12 months , with vitamin D and calcium most commonly affected Appetite suppression often results in low protein intake , increasing the risk of muscle loss during peri-menopause Standard multivitamins are rarely sufficient to meet calcium and vitamin D requirements Resistance training and personalised nutrition planning are essential to protect muscle mass and bone density GLP-1 Summary The Promise and the Paradox of GLP-1 Medications GLP-1 medications work by slowing gastric emptying and reducing appetite

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