(PubMed) Choi HK, Gao X, Curhan G
What if I'm not hungry enough to eat 1,200 calories per day
The list of people who would best benefit from a CGM, according to him, is limited to situations where there is a clear reason to look at blood sugar levels: those diagnosed with diabetes or prediabetes
Energy Expenditure and Thermogenesis GLP3s glucagon receptor activation specifically contributes to increased energy expenditure through multiple pathways[6]: Enhanced hepatic fatty acid oxidation and lipolysis Increased thermogenic activity in brown adipose tissue Upregulation of uncoupling protein expression Potential FGF21-mediated metabolic effects This thermogenic component distinguishes the blend from pure GLP-1 or amylin-based approaches, addressing both energy intake (via satiety) and energy expenditure simultaneously
Best practices include: Setting realistic expectations at initiation Documenting and tracking tolerability Adjusting or switching medications based on response Collaborating with dietitians and other care team members Supporting your patients through each stage of therapy leads to greater confidence and continuity
Retatrutide requires careful dose titration