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Management strategies: Time your pre-training meal 3+ hours before training (not the typical 1-2 hours) Choose easily digestible pre-training foods (white rice, whey protein, banana) Avoid high-fat meals before training entirely Address constipation proactively with fiber supplementation and adequate hydration If nausea is severe during dose increases, reduce training volume for that week rather than skipping sessions entirely Sleep disruption and recovery Multiple users report reduced sleep quality on retatrutide, including earlier waking, more vivid dreams, and lighter sleep overall

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Baseline metabolic labs are part of that workup

De Feyter HM, Behar KL, Corbin ZA, Fulbright RK, Brown PB, McIntyre S, et al