Eat smaller protein portions (20 to 30 grams per meal instead of 50+), avoid high-sulfur foods like eggs and red meat, choose easily digestible proteins like white fish and chicken, eat slowly and chew thoroughly, stay well hydrated, time protein intake earlier in the day rather than at dinner, and consider digestive enzyme supplements
Regarding their metabolic effects, the combination of a GLP-1RA and a SGLT2i significantly reduces HbA1c level, body weight, and SBP, with an additive effect on weight loss and SBP but not on HbA1c [35, 57,58,59]
As options grow, the focus is shifting from access to management, how these medications fit into a broader care model that includes primary care, behavior change, and ongoing support
Instead, work closely with a healthcare provider to taper existing medications as blood pressure naturally declines