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More recently, an acquired form of high anion gap metabolic acidosis caused by systemic accumulation of 5-oxoproline was reported in a number of patients who were chronically ingesting acetaminophen (837)
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These medications, such as Liraglutide (Victoza) or Semaglutide (Ozempic), work by mimicking the effects of a naturally occurring hormone called glucagon-like peptide-1 (GLP-1)
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Fermented foods : Probiotics and fermented foods may support a healthy gut microbiome, which plays a role in metabolic health, though clinical evidence specifically linking these to enhanced GLP-1 production remains preliminary