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Vibration sense was reduced in the great toes bilaterally, but sensory examination was otherwise normal

Our skin faces oxidative stressan imbalance between free radicals and our bodys defensesfrom daily exposure to: UV Radiation: Sun exposure (remember to wear SPF 24/7) Environmental Pollutants: Smog, ozone, and particulate matter Lifestyle factors such as poor diet, stress, and lack of sleep

Key Takeaways Fried and high-fat foods are the #1 cause of severe GI symptoms on GLP-1 medications limit these strictly Sugary foods and refined carbs undermine weight loss goals and can trigger blood sugar swings Alcohol carries multiple risks including hypoglycaemia and delayed intoxication safest to avoid entirely during active weight loss Reflux-triggering foods (spicy, citrus, tomato, chocolate, peppermint, coffee) may become problematic even if they were fine before Ultra-processed foods waste limited appetite on empty calories every meal should be nutrient-dense Increase fibre gradually to prevent constipation abrupt increases cause bloating and pain Coffee is okay in moderation but only with food, never on an empty stomach Individual triggers vary keep a food diary for the first 4 weeks to identify your personal problem foods All GLP-1 medications (Ozempic, Wegovy, Mounjaro, Zepbound, Rybelsus, Foundayo) share essentially the same food-avoidance list References Cleveland Clinic

For some individuals, long-term treatment may make sense

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