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This rise is partly due to natural aging, but the drop in estrogen also plays a key role, says Chervenak

Monitor with bloodwork every 3-6 months and adjust based on results and symptoms

Diabetes Care 44 , 765773 (2021)

A new addition to the GLP-1 medication group is retatrutide

If the athlete wants to take a GLP-1, the biggest thing that we know to advise them on is to focus on their on-bike fueling and double their protein intake off the bike, says longtime cycling coach Frank Overton, who notes he sees more and more cyclists starting on a GLP-1 and failing to mention it to their coacheswhich can result in slipping power numbers

Huynh K (2025)