This is non-negotiable based on current evidence
The fix: Even if solid food feels impossible, have a protein shake
Assessment of antioxidant enzyme activities and oxidative stress markers To assess antioxidant enzyme activities and oxidative stress markers, frozen-thawed spermatozoa of each group (repeated in triplicated) were collected and centrifuged at 800g for 20 min to separate spermatozoa from seminal plasma
For a detailed reference on GLP-1 medications available in India including approval status, dosing, and costs for Ozempic, Rybelsus, Mounjaro, and Victoza see AyuApp Health Pvt Ltd's GLP-1 India data reference
(doi:10.1007/s00125-010-1937-z) report that metformin acutely increases plasma levels of glucagon-like peptide 1 (GLP-1) in mice
GLP-1RA and the risk of NAION in patients with type 2 diabetes: A population-based study