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The timing of surgery and whether to continue therapy during the interim requires individualized decision-making

For those on GLP-1 medications, adequate protein becomes even more critical because these drugs suppress appetite so effectively that total food intake drops, risking muscle loss if protein falls too low

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This not only alleviates anxiety but also improves sleep quality, a critical factor in cognitive health

During the titration period, doses of metformin were increased up to 2,000 mg/day