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Many people feel less thirsty on GLP-1s, but the body still needs adequate water for digestion, metabolism, kidney function, and energy production

24,25 Further complicating matters, HbA1c can be elevated in healthy individuals without insulin resistance, such as endurance athletes (who often have higher fasting glucose due to increased gluconeogenesis), those with iron deficiency, prolonged red blood cell lifespan, or those taking certain medications