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*Correspondence: Maria Konstandi, [email protected] Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

Gabrielle Lyon, DO Board-Certified Family Physician Founder, Institute for Muscle-Centric Medicine Author, Forever Strong Source: Integrative & Complementary Therapies, 2024 InsideTracker Longevity by Design Podcast, 2025 A 2025 joint advisory from the American College of Lifestyle Medicine, the American Society for Nutrition, the Obesity Medicine Association, and the Obesity Society emphasized that nutritional counseling is essential for patients on GLP-1 therapy not optional

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In addition, heavy metal ions, pesticides and other substances in diets or the water environment will also impact fish GM (Navarrete et al., 2008)