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The most realistic approach for most people: use the keto plus GLP-1 combination during the active weight loss phase (typically 6 to 18 months), then transition to either maintained keto as a GLP-1 exit strategy, continued GLP-1 at a maintenance dose with a more moderate low-carb diet, or a gradual return to a protein-prioritized diet that may include more carbohydrates than strict keto while maintaining the metabolic awareness and habits built during the keto phase