What not to obsess over: Exact macronutrient ratios down to the gram
Serious adverse effects requiring clinical vigilance include: Lactic acidosis : A rare but potentially fatal complication of metformin, particularly in patients with renal impairment (eGFR 10%), symptomatic hyperglycemia, diagnostic uncertainty, or recurrent hypoglycemia
Unclear boundary with medical care: Nutrition advice must not replace medication decisions or management of severe adverse effects
Provincial formulary decisions determine which medications receive public coverage
If you're in a 40% tax bracket (including federal income tax, state income tax, Medicare, and Social Security taxes), this effectively gives you a 40% discount on your 2025 healthcare expenses by including these costs in your FSA or HSA contributions
Compounded GLP-1 medications became cheaper and easier to find during the brand-name shortage, but that shortage is over