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The elevated levels of 2-oxoisocaproic acid indicate enhanced leucine degradation, suggesting a shift towards energy production pathways to support the heightened metabolic activity 36

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Our protocol integrates laboratory medicine, body composition analysis, and metabolic coaching to maximize safety and outcomes. Before starting GLP-1 therapy, we recommend a comprehensive metabolic workup that includes: Fasting glucose and insulin: Establishes baseline glucose control and HOMA-IR (insulin resistance index) HbA1c: 3-month glucose average