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Persistent vomiting that does not improve with dietary changes
An older GLP-1 drug called Saxenda was approved for kids ages 12 and up in 2014
Liquid formula may be mixed into a small amount of juice for palatability
The complete supplement protocol for someone on keto plus GLP-1 should include: Electrolytes (sodium, potassium, magnesium) throughout the day Creatine monohydrate: 3 to 5 grams daily Omega-3 fish oil: 2 to 3 grams EPA/DHA combined Vitamin D3: 2,000 to 5,000 IU daily (test levels and adjust) B12: 1,000 mcg methylcobalamin daily Probiotic: multi-strain, 10+ billion CFU Fiber supplement: psyllium husk, 5 to 10 grams daily as needed for bowel regularity Collagen peptides: 10 to 20 grams daily for connective tissue support (also contributes to protein intake) Tirzepatide-specific supplement considerations mirror the general protocol but may require higher electrolyte doses during the initial adaptation period due to the more aggressive appetite suppression and potential for greater fluid shifts
Impaired synaptic plasticity and decreased excitability of hippocampal glutamatergic neurons mediated by BDNF downregulation contribute to cognitive dysfunction in mice induced by repeated neonatal exposure to ketamine
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