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[4] A joint advisory from the American Society for Nutrition, the Obesity Society, the American College of Lifestyle Medicine and The Obesity Society listed several nutrients that those taking GLP-1s are at an increased risk of developing a deficiency: [4] Iron Calcium Zinc Magnesium Vitamins A, D, E, K, B1, B12 and C Avoiding Nutrient Deficiency Its critical for individuals taking GLP-1 medications to be proactive about managing their dietary composition and quality in order to maximize nutrient intake within a lower calorie intake

Foltynie T, Kahan J

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Obesity-associated inflammation can accelerate NAD turnover through PARP-1 and CD38 pathways [85, 97, 116]