Adding keto to this combination is generally manageable but may be unnecessary, given that three separate appetite-suppressing interventions could reduce intake to dangerously low levels
doi: 10.1016/j.amepre.2024.06.021
The study reviewed here was for patients with DOR or POI, and for a look at the general population, check out the latest Cochrane review in my post Impact of supplements on live birth and pregnancy rates in women: a meta-analysis
You may want to avoid ginger ale, however, as the carbonation may worsen nausea (plus, some ginger-based sodas may contain a lot of sugar)
When combined with vitamin B12, it can also support healthy energy and metabolic functionmaking it an effective, personalized option for many patients. Microdose semaglutide in an ODT format gives patients a convenient, gentle option for long-term weight maintenance