Morning with food: Multivitamin, Vitamin D (2,000-4,000 IU), Omega-3 fish oil (1,000-2,000 mg EPA/DHA), CoQ10 (100-200 mg) With lunch: B12 sublingual (0.5-1 mg) if not already in multi, Creatine (3-5 g) Evening: Magnesium glycinate (300-500 mg) Optional additions: Rhodiola (200-400 mg morning), Ashwagandha (300-600 mg evening) Strategy 12: Addressing Mental Fatigue and Brain Fog Physical tiredness and mental fatigue dont always go together
Supports Neuroplasticity Neuroplasticity is the brains ability to rewire itself
Orforglipron was originally discovered by Chugai Pharmaceutical, a Roche subsidiary, and licensed to Lilly in 2018 for an upfront payment of USD 50 million, with up to USD 390 million in potential milestone payments
Practical checklist (simple, scalable): Protein plan + resistance training from day 1 (protect lean mass) Dietitian touchpoint early for patients with poor appetite/food aversions Consider targeted labs in higher-risk patients (baseline + 36 months): vitamin D, ferritin/iron indices, B12 ( thiamine if vomiting/very low intake), plus others as clinically indicated Treat deficiencies proactivelydont wait for fatigue, hair loss, cramps, neuropathy, or plateau frustration Question for colleagues: Do you have a standard nutrition/lab monitoring protocol for GLP-1 patients or do you individualize completely
Who is Most At Risk