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If you're on a GLP-1 and dealing with constipation, nausea, or losing muscle instead of fat, you need a stronger nutrition strategy. I've spent 15+ years as a registered dietitian, lost 100

A small 2024 randomized trial showed Akkermansia supplementation modestly improved insulin sensitivity in overweight adults, but the study did not measure GLP-1 secretion directly or produce meaningful weight loss

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Keywords: Obesity, Glucagon-like peptide 1 receptor agonists, Nutrition, Lifestyle Graphical abstract Abbreviations: BIA bioelectrical impedance analysis BMI body mass index DXA dual energy X-ray absorptiometry FDA Food and Drug Administration FIM Food is Medicine GI gastrointestinal GLP-1s glucagon-like peptide 1 receptor agonists GMV group medical visits MNT medical nutrition therapy RDN registered dietitian nutritionist 1