Keto/Low carb or GLP-1?

[smoothie-recomp]

Curious about something. Plenty of channels and dietitians or doctors online insist the only real way to treat or reverse metabolic syndrome and prediabetes is going low carb, full stop. Thoughts on that stance now that GLP medications exist, especially given plenty of people, regardless of effort, simply can't sustain that kind of dietary shift long term? Is the low carb requirement still necessary alongside these medications? Haven't seen this really addressed anywhere yet, curious what people think.

 

[oats-month3]

GLP-1 receptor agonists have actually been in widespread clinical use since the mid 2000s, over two decades of real world data by now. Curious which doctors are still raising concerns about long term effects.

 

[arcticfang]

From what I've seen, GLP-1s are nothing like those old obesity drugs that fizzled out. Keeps delivering long term. Three years in now and haven't regained a pound. Congrats to you!

 

[reset-ish]

If keto's sustainable for you, go for it, even full carnivore honestly. But that's genuinely hard to stick with, and if someone's dealing with serious obesity or heavy visceral fat, a GLP-1 beats the alternative.