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These improvements in echocardiographic parameters are indicative of a direct positive impact on RV performance [15]
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Upon initiating therapy, the endocrinologist ensures appropriate dose titration to minimise GI side effects, provides education on injection technique and timing, and establishes therapeutic goals, such as glycaemic control, weight reduction, and improvement in cardiometabolic risk
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Key points include: Body sovereigntythe freedom to make choices about your own bodymust anchor all clinical conversations about weight and medication With 12% of American adults having used GLP-1s, avoiding "body talk" and weight-related comments is essential etiquette Individual experiences vary dramaticallysome find liberation from food noise, while others discover deeper psychological issues These medications intersect with eating disorders, food addiction, mental health, and systemic healthcare inequities Insurance covers $1,000/month injections but not nutrition counseling, reflecting broken healthcare priorities Wise Mind Nutrition emphasizes the importance of: Supporting clients through all phases: pre-medication, active use, and discontinuation Addressing nutritional needs regardless of the appetite regulation method Recognizing that rigid thinking serves no one in complex healthcare decisions Challenging our own biases while holding space for all choices Understanding that pharmaceutical solutions don't address the root environmental causes The article concludes that healthcare professionals must lead with radical curiosity over rigid dogma, providing nuanced support that honors each person's journey while advocating for systemic change
