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When the body consumes fewer calories than it burns, physiological changes including shifts in stress hormones, electrolyte levels, and blood glucose can affect the cardiovascular system, sometimes causing a racing, fluttering, or irregular heartbeat

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Alternatives might include switching to a different GLP-1 medication (some patients tolerate one better than another despite similar mechanisms), reducing the maintenance dose to a level that produces fewer GI effects while still providing benefit, or transitioning to tirzepatide or another agent in the class

& Schlessinger, J