The primary concern is hypoglycemia, which is manageable with proper nutrition timing
R.ManuelR.AbbruscatoA.CarrJ.CampbellJ.HornbyB.et al (2024)
18 WHAT IS NEW ON THIS TOPIC: PALPITATIONS Supraventricular premature complexes, which can be distinguished from ventricular premature contractions when nonsinus atrial depolarizations are followed by narrow QRS complexes, are associated with significant increases in atrial fibrillation, stroke, cardiovascular disease, and death, even if asymptomatic
98 (3): S112
Monitoring Progress Effectively: Rather than relying solely on scale weight, which can be misleading due to muscle preservation and fluid fluctuations, comprehensive progress tracking should include body composition analysis (DEXA scan, bioelectrical impedance, or skinfold measurements), circumference measurements (waist, hips, thighs, arms), progress photos taken in consistent lighting and positioning, and subjective measures like energy levels, appetite patterns, and how clothing fits
You may see modest weight reduction after 4-8 weeks when combined with proper diet and exercise