semaglutide ketosis glp-1 and Ketogenic diet but not free-sugar restriction alters glucose tolerance, lipid metabolism, peripheral tissue phenotype, gut Semaglutide as a MASH Treatment:

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Fundamental Body Composition Principles Provide Context for Fat-Free and Skeletal Muscle Loss With GLP-1 RA Treatments, Journal of the Endocrine Society, Volume 8, Issue 11, November 2024, bvae164, 7

If training fasted (morning, before eating): Consume 10-15g essential amino acids or BCAAs 15 minutes before training Prioritize post-workout protein (30-40g within 30 minutes) Benefits: No nausea risk, enhanced fat oxidation Drawbacks: Potentially lower performance, increased muscle breakdown risk If training fed: Small meal 60-90 minutes pre-workout: 20-25g protein, 30-40g carbs Example: Rice cakes with almond butter and protein shake Benefits: Better performance, reduced muscle breakdown Drawbacks: Possible nausea if timing is poor Post-Workout Nutrition This is non-negotiable