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Many commercial pre-workouts contain ingredients that can cause problems for bariatric patients, including: High caffeine doses, which can irritate the surgical pouch Carbonated mixes, which can stretch the pouch over time Beta-alanine and niacin, which often cause flushing or GI discomfort Sugar alcohols, which can trigger dumping syndrome High sodium content, which can cause dehydration Post-bariatric patients usually do better with low-stim, sugar-free, non-carbonated formulas, sipped slowly rather than chugged
The SURMOUNT-1 trial, published in the New England Journal of Medicine, followed over 2,500 adults with obesity for 72 weeks and provides detailed insights into weight loss patterns at different time points
(Side note: from all my research
Conversely, those with FTO rs9939609 risk variants may struggle with hunger signals after stopping and benefit from extended therapy, a lower-dose maintenance regimen, or PlexusDx's GLP-Squared combination therapy for dual-pathway reinforcement
Most are manageable and temporary, particularly when dosing is done thoughtfully and with medical oversight
Reported side effects may include: Nausea Flushing Appetite suppression Blood pressure changes Darkening of freckles or moles Potential melanoma concerns Excessive UV exposure may still increase the risk of skin damage and skin cancer
