Managing constipation whilst on GLP-1 treatments Dietary strategies Increase fibre intake gradually to 25-30g daily through fruits, vegetables, whole grains, and legumes Stay well-hydrated with at least 2-3 litres of water daily Consider psyllium husk or other soluble fibre supplements if dietary fibre is insufficient Magnesium supplements can have a laxative effect and relieve constipation Include probiotic-rich foods like yoghurt, kefir and fermented vegetables Limit foods that may worsen constipation such as processed foods, cheese, and white bread Physical activity approaches Try specific yoga poses known to stimulate digestive motility Practice abdominal massage in a clockwise direction Maintain an active lifestyle with regular movement throughout the day and at least 30 minutes regular exercise Consider a short walk after meals to stimulate digestion Bathroom habits Establish a regular toileting routine at the same time each day Dont ignore the urge to have a bowel movement Use proper positioning with knees higher than hips (a footstool can help) Allow sufficient unhurried time in the bathroom Practice relaxation techniques to reduce tension during bowel movements Medical interventions Over-the-counter osmotic laxatives like polyethylene glycol (Movicol) for occasional relief Stool softeners such as docusate sodium (Dioctyl) if stools are particularly hard Bulk-forming laxatives such as ispaghula husk (Fybogel)

And obesity medicine specialists and researchers have known this for a long time
PMID: 19227235
The recovery of the phospho-endothelial nitric oxide synthase (pNOS3) to NOS3 protein ratio in liraglutide-treated cardiomyocytes suggests that liraglutide- associated inhibition of oxidative stress-induced injury occurs via the IRS1-eNOS-PKG pathway in the aging heart [83]
Our medical system has long made the mistake of treating the human body as a silo, each system independent of one another
Clinically, good progress can look like: Waist circumference reducing Better fasting glucose / HbA1c (especially for diabetes/prediabetes) Improved blood pressure and lipids Less snacking, fewer cravings, better satiety Better energy and sleep consistency Plateaus: why they happen and what to do A plateau is common after the initial phase because: Your body requires fewer calories at a lower weight Hunger signals can adapt over time Activity levels sometimes drop (subconsciously) when intake is lower What helps plateaus most: Strength training 24x/week Higher protein (discuss target with your clinician/dietitian) Consistent steps or low-intensity movement Fixing hidden calories (liquid calories, weekend drift) Reviewing dose tolerance and meal patterns with your clinician Plateau doesnt mean the medication stopped working. It often means the plan needs an upgrade