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Main causes: Ultra-processed food (low in fiber, high in simple sugars) Unbalanced gut microbiota (dysbiosis) Insulin resistance (prediabetes) Lack of sleep (reduces production by 30%) Chronic stress (cortisol inhibits GLP-1) Sedentary lifestyle Good news: Unlike your genetics, your GLP-1 production is completely modifiable by your lifestyle choices

Liraglutide proved the least effective of the three drugs

When belly fat was decreased, the patients overall body composition improved, and their health did as well

A physician may consider the patients medical history, weight regain risk, side effects, metabolic markers, cost, access, muscle status, appetite, and long-term goals