downsides of semaglutide Tirzepatide vs. Semaglutide: What You Should Know Compounded semaglutide side effects

Patients should be cautious with fruit juices and smoothies, even those without added sugar, as they contain concentrated natural sugars and can deliver significant calories in liquid form, potentially counteracting weight management efforts

Ethics declarations Ethics approval and consent to participate Parents of the patients provided informed consent

A more significant concern is the increased risk of hypoglycemia (low blood sugar), especially if other glucose-lowering medications are also being used

This narrative review synthesizes current evidence on GLP-1RAs, including both conventional single-agent therapies and dual GIP/GLP-1 receptor agonists, versus exercise, their combined effects, and the implications for future clinical and public health priorities