Second Natures medication programme combines Wegovy or Mounjaro with structured nutrition guidance from registered dietitians, built around the balanced plate model (half vegetables, quarter protein, quarter complex carbohydrates such as wholegrain bread, brown rice, or oats, plus a serving of fat)
In both cases, thats just the drug doing what its supposed to do, and the proper response is to decrease the dose to a level that is still efficacious but with fewer side effects, Cummings said
Sometimes slowing the dose escalation schedule, adjusting meal timing, or exploring alternative GLP-1 formulations can reduce reflux while maintaining weight loss progress
GLP-1 stands for glucagon-like peptide-1, a hormone your gut releases after eating
Insulin normally suppresses VLDL production by the liver