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Poor sleep elevates ghrelin (the hunger hormone) and decreases leptin (the fullness hormone), potentially working against your weight management goals even while on a GLP-1 medication

Patients should be advised to implement dietary changes that reduce reflux triggers, including avoiding large meals, particularly in the evening, and limiting intake of known precipitants such as caffeine, alcohol, chocolate, spicy foods, and high-fat meals

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Yes, restarting is medically appropriate if you regain weight and struggle with appetite control

Always consult with a healthcare provider before making significant changes to your health regimen to avoid any adverse effects

Consult with them, and they will be professional in making sure you get the results you want safely.