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The concern is what happens when training demands stay high while energy availability drops too low
Long-term weight management still depends on factors such as nutrition, exercise, sleep, stress management, and a personalized approach developed with qualified healthcare professionals
Robledinos-Antn et al., 2019
Red flag symptoms requiring urgent medical attention include: Severe abdominal pain , particularly if constant, progressively worsening, or localized to a specific area Persistent vomiting lasting more than 24 hours or containing blood Signs of pancreatitis : severe upper abdominal pain radiating to the back, often accompanied by nausea and vomiting Right upper quadrant pain, fever, or yellowing of skin/eyes , which may indicate gallbladder disease (a known risk with GLP-1 RAs) [7] [11] Severe, persistent constipation with abdominal distension and vomiting , which could suggest ileus (intestinal obstruction) Inability to pass gas or stool , severe bloating, cramping pain Unexplained weight loss beyond expected therapeutic effects Difficulty swallowing or sensation of food getting stuck Black, tarry stools or blood in stool , which may indicate gastrointestinal bleeding Call 911 or seek emergency care for severe, worsening abdominal pain, signs of gastrointestinal bleeding, or inability to keep fluids down for more than 24 hours with signs of dehydration
