If you smoke, cessation is strongly advised, as tobacco use weakens the lower esophageal sphincter and worsens reflux
Whether your clients are currently taking GLP-1 medications, considering them, or struggling after stopping them, your expertise is more important than ever
Another approved treatment is phentermine/topiramate, a combination of a sympathomimetic appetite suppressant (phentermine) and an anticonvulsant (topiramate), which acts as a centrally acting neuromodulator to reduce appetite and promote weight loss
The most effective are: eggs (rich in tyrosine and choline, which support dopamine and acetylcholine production), oats (slow-release carbohydrates that prevent blood sugar crashes), spinach and cabbage (high in l-glutamine, which reduces craving intensity), bananas (rich in B6 and tryptophan, which support serotonin production), and nuts and seeds (high in magnesium, which supports GABA and reduces anxiety)