In the end, your choice depends on your health goals, medical condition, if your provider and insurance approves your use of semaglutide, and how your body responds to semaglutide and berberine
I dont think keto plus a GLP-1 medication is automatically the best or worst approach I think its a genuinely powerful tool that punishes carelessness more than most
Farkas I, Vastagh C, Farkas E, Balint F, Skrapits K, Hrabovszky E et al (2016) Glucagon-Like Peptide-1 Excites Firing and Increases GABAergic Miniature Postsynaptic Currents (mPSCs) in Gonadotropin-Releasing Hormone (GnRH) Neurons of the Male Mice via Activation of Nitric Oxide (NO) and Suppression of Endocannabinoid Signaling Pathways
After months of reduced hunger, this new normal no longer registers as noteworthy
These symptoms can be significant enough to lead to medication discontinuation in some cases
Am J Physiol Endocrinol Metab 2017;313:E651-62.ArticlePubMedPMC 100