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, Tirzepatide for Metabolic Dysfunction-Associated Steatohepatitis With Liver Fibrosis, New England Journal of Medicine 391 (2024): 299310

Acid reflux and digestive issues Acid reflux on semaglutide can worsen on keto because high-fat meals relax the lower esophageal sphincter, allowing stomach acid to rise

Most patients begin semaglutide at 0.25 mg once weekly, then increase by 0.25 mg increments every 714 days

The program typically offers two main treatment options: Semaglutide (GLP-1) a medication that mimics a natural appetite suppression hormone to help reduce hunger and calorie intake Tirzepatide (GLP-1/GIP) a newer option that targets both appetite and metabolic pathways for potentially stronger weight loss effects Both are part of a class of drugs known as GLP-1 receptor agonists, commonly used for metabolic weight loss treatment and blood sugar regulation