Start fibre supplements at a lower dose than recommended on packaging and increase gradually over 24 weeks to minimise digestive discomfort, particularly important given the altered gut motility from GLP-1 medications
As of April 2020, the FDA has updated their guidance and removed this restriction
Consider the typical metabolic patient profile presenting to a clinic like Meto: Waking at 24 AM with an inability to return to sleep (a cortisol signature) Carrying visceral abdominal fat despite dietary effort Elevated fasting glucose or rising HbA1c despite reasonable lifestyle habits Fatigue despite adequate total sleep hours Poor recovery from exercise Blunted GH response (often confirmed on labs as low IGF-1) Each of these findings is consistent with slow-wave sleep deprivation and HPA axis dysregulation
Storage: Additionally , store in a cool, dry place

Day 1 Breakfast: Protein oatmeal cup oats, 1 scoop vanilla protein powder, cup berries, 1 tbsp chia seeds (~30g protein | ~7g fiber) Lunch: Grilled chicken salad 5oz grilled chicken, avocado, cup cucumber, cup cherry tomatoes, 1 tbsp olive oil vinaigrette (~35g protein | ~6g fiber) Dinner: 5oz salmon, 1 cup roasted broccoli, cup roasted sweet potato (~30g protein | ~7g fiber) Snack: cup Greek yogurt with cup berries (~15g protein | ~2g fiber) Day 2 Breakfast: Greek yogurt bowl cup Greek yogurt, cup berries, 1 tbsp hemp seeds, cinnamon to taste (~25g protein | ~4g fiber) Lunch: Chicken taco bowl 5oz grilled chicken, 1 cup lettuce, cup black beans, avocado, cup salsa (~38g protein | ~10g fiber) Dinner: Sheet pan chicken 6oz chicken breast, 1 cup broccoli, 1 cup zucchini, onion, 1 tbsp olive oil (~35g protein | ~6g fiber) Snack: cup cottage cheese with cup fruit (~15g protein | ~2g fiber) Day 3 Breakfast: Protein smoothie 1 scoop protein powder, 1 cup spinach, cup berries, 1 cup almond milk, ice (~28g protein | ~5g fiber) Lunch: Grilled chicken bowl 5oz grilled chicken, cup cooked quinoa, 1 cup roasted vegetables, 1 tsp olive oil drizzle (~38g protein | ~8g fiber) Dinner: Turkey taco salad 5oz ground turkey, 1 cups lettuce, cup tomatoes, avocado, cup salsa (~35g protein | ~7g fiber) Snack: 2 hard-boiled eggs and 1 medium apple (~13g protein | ~4g fiber) Day 4 Breakfast: Oats with almond butter cup oats, 1 scoop protein powder, 1 tbsp almond butter, 1 tbsp chia seeds, cup mixed berries (~33g protein | ~6g fiber) Lunch: Grilled chicken with quinoa and roasted vegetables 4oz grilled chicken breast, cup cooked quinoa, 1 cup steamed or roasted vegetables, 1 tsp olive oil drizzle (~38g protein | ~8g fiber) Dinner: Baked salmon with sweet potato and green beans 45oz baked salmon, cup roasted sweet potato cubed, 1 cup steamed broccoli or green beans (~45g protein | ~6g fiber) Snack: Greek yogurt with berries cup plain Greek yogurt, cup mixed berries, 1 tsp chia seeds (~20g protein | ~2g fiber) Disclaimer: This sample meal plan is for educational purposes only
