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Not sustainable long-term (insufficient nutrition), but acceptable as bridge through worst 48 hours of each week
However, a sudden, drastic increase in fiber can sometimes lead to bloating and gas, so a gradual approach is key
And perhaps most relevant to this combination, hunger hormones, particularly ghrelin, tend to decrease in ketosis, reinforcing the appetite suppression that semaglutide is already creating through a completely separate pathway
The 2016 research review previously mentioned suggests that specific nuts almonds pistachios peanuts In addition, the fiber in these nuts slows digestion, leading to a gradual release of glucose into the bloodstream and a corresponding increase in GLP-1 secretion
