DEAR DR. ROACH: I am a 66-year-old male who started Mounjaro a month ago for Type 2 diabetes in the hopes of losing 40 pounds. I keep an online food log. What is the minimum number of calories I should consume in a day? My appetite is definitely suppressed, and I am worried that I may not be getting enough nutrients.

— H.C.

ANSWER: Calorie restriction below 800-1,200 calories per day runs the risk of providing inadequate protein, as well as micronutrients such as vitamins and minerals. People getting fewer calories than this should be taking supplements, especially of calcium, iron and vitamin D. Importantly, the calories that a person is consuming with such calorie restriction should be very high, with emphasis on nutrient-rich, calorie-poor foods such as most vegetables and fruits.

So

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