Long-term safety is under study
Smell and taste disturbances have also been reported in people with type 2 diabetes

Jenn and I discuss: How natural GLP-1 production can decline with age Why under-fueling is still the primary issue for many athletes Different types and forms of GLP-1 meds Who should (and shouldn't) consider these medications Potential risks of GLP-1 use, including muscle loss, bone density loss, and GI distress Potential benefits to inflammation, autoimmune conditions, gut health, and mood Nutrition and supplement strategies when appetite is lower Dosing and microdosing for therapeutic use, not just weight loss Why some athletes cycle on and off these meds, or may only need them for a short period of time Why Jenn takes most clients off GLP-1s during race training The stigma around GLP-1 use among athletes Jenn's own story: early menopause, a cardiovascular family history, and how a short course changed her running Why solid diet and lifestyle habits must always come first I hope this episode helps you better understand the complexities of GLP-1 medications in endurance athletes, and why there's rarely a simple yes-or-no answer to the questions we explore together

Step-up dosage: Increase to 4 mg once daily for the next 30 days, then increase again if needed
Evidence-based alternatives For people seeking effective weight management, several proven approaches offer better value than unproven patches: NHS weight management services: Free programmes available through GP referral, focusing on sustainable lifestyle changes with professional support
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