It should include consultation with the patients doctor
11 Elevated cortisol can negatively impact metabolism, promote fat storage (especially abdominal fat), disrupt other hormones involved in appetite regulation, increase cravings (particularly for high-sugar, high-fat foods), and contribute to insulin resistance, potentially hindering weight loss efforts despite medication and diet changes
It also reduces appetite by slowing down the time it takes for the stomach to empty and interacting with areas in the brain harboring GLP-1 receptors to signal satiety
The response starts as sensing and interpretation of the stress signal by the fishs equivalent to the limbic system such as the dorsolateral and dorsomedial pallium in the telencephalon (Wendelaar Bonga, 1997
This ensures balanced nutrition without requiring calorie counting or complex tracking
If possible, keep a small thermometer in the fridge to verify the temperature stays between 36 and 46 degrees