NO diffuses to the CC smooth muscle cells, activating soluble guanylate cyclase, which catalyzes the generation of guanosine triphosphate to produce the second messenger, cGMP
Ideal post-workout meal (within 60 minutes): 30-40g high-quality protein (whey, chicken, fish, eggs) 30-50g carbohydrates (rice, potato, oats) Minimal fat (delays digestion) Practical post-workout options: Protein shake with banana: 35g protein, 30g carbs Chicken breast with rice: 40g protein, 45g carbs Greek yogurt with berries and honey: 25g protein, 35g carbs Many patients report appetite increases immediately post-workout even when generally suppressed
Pizotifen 0.51.5 mg at night is an alternative to cyproheptadine with the same side effects
Essentially, on the standard weekly dosing model, the amount of incretin circulating on the last couple of days is quite a bit lower than the rest of the time