moreover, when added to insulin therapy, the risk of these complications was significantly lower, most probably due to decreased insulin doses (39, 43)
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Please share as you find out more about your "scattered small mesenteric and retroperitoneal lymph nodes." Massive googling only left more questions, so please just wait for your doctors to address that and narrow down the issue a bit

Sample High-Protein Day (135g) Here's what 135g of protein looks like in GLP-1-friendly portions: Breakfast (8 AM) - 35g protein 2 scrambled eggs with spinach (12g) 1 chicken sausage link (12g) cup cottage cheese with berries (14g) ~325 calories Mid-Morning Snack (11 AM) - 25g protein Greek yogurt protein smoothie: 1 cup nonfat Greek yogurt (20g) scoop protein powder (10g) Small banana Ice ~250 calories Lunch (2 PM) - 38g protein 4 oz grilled chicken breast (31g) Mixed greens with cherry tomatoes 2 tbsp balsamic vinegar Small sweet potato (3g) Steamed broccoli (4g) ~375 calories Afternoon Snack (5 PM) - 12g protein 2 hard-boiled eggs (12g) Baby carrots ~150 calories Dinner (7 PM) - 37g protein 5 oz baked salmon (35g) Roasted Brussels sprouts (3g) Cauliflower rice Lemon and herbs ~400 calories Evening Snack (Optional, 9 PM) - 15g protein cup low-fat cottage cheese (14g) Sliced cucumber ~90 calories Daily Total: Protein: 137g Calories: ~1,500 Meals: 4 main + 2 snacks Average portion size: Small, GLP-1-friendly Notice: Small, frequent meals

Its completely normal to experience: Slight nausea Lower energy Faster fatigue Dizziness if under-fueled Upset stomach during intense workouts Most of these symptoms improve as your body adjusts