Calorie-Controlled, Nutrient-Dense Nutrition Whole foods: vegetables, fruits, lean protein, complex carbohydrates Calorie targets set to the individual, not to a template Balanced macronutrient distribution appropriate to the patient Referral to a registered dietitian where indicated Regular Physical Activity 150300 minutes per week of moderate-intensity activity brisk walking, swimming, cycling Two to three resistance training sessions per week to preserve lean mass, which matters enormously on GLP-1s Low-impact work such as yoga or Pilates for adherence and mobility Behavioral Support Identifying and addressing emotional eating triggers Building coping strategies that arent food Mindful and intuitive eating practices Realistic, incremental goal setting Ongoing Medical Supervision Monitoring progress and adjusting the plan as physiology and adherence change Screening and treating underlying contributors thyroid dysfunction, insulin resistance, medication effects, hormonal factors Managing pharmacotherapy titration and side effects Verifying that any adjunct, including lipotropics, is actually justified for that patient Hormonal status is frequently the missing variable in a stalled weight loss patient, which is why many weight management practices pair their program with hormone optimization our overview of synthetic versus bioidentical hormones and our hormone pellet and BHRT training cover that side of the practice

Typical Dosage The recommended dosage varies depending on individual needs, but a common regimen is a weekly injection containing 1,000 mcg of Vitamin B12
Eichner, D (Jan 2015)

Testosterone Replacement Therapy: Nausea or vomiting Infertility or decreased sperm count Testicular shrinkage Worsening of obstructive sleep apnea Increase in cholesterol levels Abnormal spike in blood sugar levels, which can increase the risk of developing Type 2 diabetes Yellowing of the skin or around your eyes Uncomfortable swelling or enlargement of breast tissue (gynecomastia) Redness, warmth around lower leg area Unusual increase in red blood cell count, which can result in high blood pressure, joint/muscle pain, trouble with eyesight or thrombosis (blood clotting) Frequent need to urinate Fluid retention Acne or oily skin Headaches Lumps or hardening around injection site Clomid: Headaches Nausea Bloating Mood swings Diminished sex drive Sperm counts decrease (can be reversed by changing Clomid to another type of estrogen blocker, such as tamoxifen.) Acne Chest tenderness Blurry vision Weight gain High blood pressure (hypertension) Altered taste Asthma Flushing Excess thirst Joint aches Enclomiphene Libido issues Acne A temper if levels get too high Mood swings Depression Mood irritability Anxiety Gynecomastia Headache Nausea Diarrhea Dizziness Common Cold Hot flush Joint pain NOTE: Enclomiphene is the purified isomer of Clomid (Clomiphene Citrate)
