Standard lifelong supplementation following sleeve gastrectomy typically includes a bariatric-formulated multivitamin and mineral supplement, vitamin D, calcium citrate, and vitamin B12, as directed by the surgical team
By focusing on dietary modifications, intermittent fasting, and specific medications like LDN and GLP-1 agonists, individuals can take pro active steps to reduce inflammation and improve their overall health
Dulaglutide and liraglutide were linked with higher rates of abdominal pain, nausea/vomiting, constipation, and diarrhea compared with semaglutide and exenatide
Conservative strategies include progressive resistance training to rebuild core stability, regular stretching and mobility work, adequate hydration (often challenging on GLP-1 therapy), and micronutrient supplementation including vitamin D3, calcium, and B12
The flip side is that the curve does not climb forever