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While incredibly effective for weight management and metabolic health, these medications create unique hydration challenges: Reduced fluid intake: Decreased appetite often means you're drinking less throughout the day Slower gastric emptying: Food and fluids move through your system more slowly, affecting mineral absorption Nausea and digestive changes: Many people instinctively avoid eating and drinking when nauseous, compounding dehydration Increased urination: Better blood sugar control can lead to more frequent urination, especially in the first weeks Rapid weight loss: Losing fat releases stored water and electrolytes that need replacement When you're not consuming enough fluids or minerals, your cells can't regulate water balance properlyno matter how much plain water you drink

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