Bariatric Surgery vs GLP-1 Medications It all comes down to how much the surgery changes the path food takes
Cardiovascular outcomes trials have demonstrated additional benefits beyond glycemic control
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Small increases above a person's typical weekly routine (~30 min) showed little impact, but larger deviations were associated with elevated HR and persistently lower HRV suggesting recovery tolerance narrows after GLP initiation
But because GLP-1 agonists can produce substantial weight loss (sometimes 1 to 2 pounds per week or more), the rate of fat mobilization could be significant enough to affect milk quality