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When semaglutide suppresses appetite and keto eliminates an entire macronutrient category, some people end up eating 600 to 800 calories per day without realizing it

So the drug is there, but its full effect isn't

[DOI] [PMC free article] [PubMed] [Google Scholar] 19.Muller T.D., Bluher M., Tschop M.H., DiMarchi R.D

Stomach acid levels also fluctuate dramatically with food intake, potentially impacting the capsule's integrity and the peptide's stability

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Understanding these risk factors enables more informed prescribing decisions and enhanced patient monitoring