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At Refine by Tulsi, Dr Kotecha has been working with numerous patients to develop a personalized, science-backed weaning protocols to help patients maintain their weight loss while gradually reducing reliance and cost associated with GLP-1s

Dietary adjustments: Eat smaller meals, 4 to 6 per day instead of 2 to 3 large ones

R., Duan, L., Greco, A., Huang, C., Soofi, S., Bandsma, R

GLP-1 receptor agonists enhance glucose-dependent insulin secretion from pancreatic beta cells and suppress inappropriate glucagon release

It comes in waves

They do not cause air embolism (that risk applies only to intravenous injection of large air volumes)