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5 Mechanistically, exercise-induced interleukin-6 (IL-6) appears to stimulate GLP-1 secretion from intestinal L-cells and pancreatic -cells in experimental models, which may contribute to improved appetite regulation and insulin secretion during and after exercise

However, if she were to experience nausea or any GI side effects from the Victoza, particularly if her dose has been recently adjusted, this may affect her participation in therapy

The practical protocols

Carrying a water bottle with you may make it easier to drink water throughout the day

In general, repeated cycles of weight loss and regain is associated with worsened cardiometabolic risk factors, says Sara Velayati, MD, obesity medicine specialist and assistant professor at Albert Einstein College of Medicine in New York City