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Skipping meals entirely which is easy to do given the appetite suppression often leads to protein deficits, energy crashes, and increased fatigue

Evaluating the efficacy and safety of long-acting GLP-1 receptor agonists in T1DM patients

it may help raise the physiological threshold at which exertion triggers lactic acid buildup, potentially offering a crucial buffer against severe crashes and debilitating post-exertional malaise (PEM)

those could be signs of a rare allergic response