💉 GLP-1 meds don’t just curb appetite—sometimes they curb essential nutrients too. - - - 📉 In a study of 460,000+ adults on GLP-1s (mostly with T2D): 🔹13% developed nutritional deficiencies in 6 months 🔹22% within 12 months 🔹Vitamin D deficiency was most common (13.6%) 🔹3% experienced muscle loss 🔍 Patients who saw a dietitian were more likely to have deficiencies identified—not because dietitians caused harm, but because they actually looked. 💡 Clinical translation: 🔹Appetite suppression can lower intake of protein, vitamins (D, B12, folate), and minerals. 🔹Without supervision, this can compromise muscle mass, hydration, and metabolic health. 🔹Older adults and those with obesity are especially vulnerable due to baseline deficiencies. Treating obesity isn't just about weight loss—it's about preserving health while losing weight. ✅ That’s why supervised care with physicians + registered dietitians is non-negotiable. ✅ Monitor labs (Vit D, B12, iron, folate). ✅ Emphasize protein, strength training, and hydration. 📚sciencedirect.com/science/ar… Credit to @drbutsch and colleagues.