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This is likely linked to secondary effects , such as weight loss, dietary restriction, or preexisting nutrient deficiencies not the drug itself

[3] Probiotics are an adjunct, not a replacement, for GLP-1 medication

The medication usually comes in a pre-filled pen that contains a thin needle so patients can inject it at home

Temperature exposure and accelerated expiration The printed expiration date assumes proper storage

TFOS DEWS II epidemiology report

Patients with mild to moderate renal impairment generally do not require dose adjustment, but closer monitoring may be warranted, particularly for signs of gastrointestinal adverse effects that could lead to dehydration and worsening renal function