RD doing an AMA on GLP-1s!

Hong Kong Yanpep International
To add to that, for someone who is having a hard time eating a full meal, consider high protein alternatives like protein shakes made with protein milk, or even just adding protein powder to your coffee. A lot of people struggle with getting enough protein and calories on GLP-1s and end up undereating. This is not sustainable, and can work against your goals in the long run!
 
I agree with ATL_Lois, multivitamins are often useful when restricting calories. It can be difficult to get all the micronutrients needed if you're eating less overall!
 
I like making a big batch of chia pudding with greek yogurt and berries. It's good for breakfast or a snack! It keeps me full for a while, too.
 
grabbed a dexa scan, went home, measured on three scales within 20-30 mins. tech said the weight reading would be about a kg low since it doesn't track water. usually jump on scales first thing but morning vs midday numbers are different. light breakfast and coffee three hours before the scan.
 
The food aversion piece is core to the mechanism and worth naming for people who think the medication is just suppressing hunger numbers. The fact that the effect shows up differently on sema versus tirz and reta is something a dietitian working with GLP-1 patients would have a lot of useful data on. Great AMA to have here.
 
The selection bias point is valid - online forum data skews toward people seeking help with problems. The people doing well tend to just keep taking their medication and don't post as much. Any research drawing from complaint-heavy sources is going to overestimate negative outcomes.
 
The shift away from the willpower narrative is probably the most significant cultural change these medications have driven alongside the weight outcomes. Registered dietitians working directly with GLP-1 patients are in the position to see that shift in real time. Great thread. What's the most common misconception you see from patients in the first month that the clinical evidence actually addresses?
 
Finding an RD who has actually worked with GLP-1 patients makes a significant difference - the standard dietary advice sometimes conflicts with the gastric emptying effects and lower intake capacity. The meal timing and protein distribution guidance has to be adjusted for the medication, not just for the individual.
 
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