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It is crucial to comprehensively assess the patients complaints: if reflux symptoms are pronounced and significantly impair quality of life, this often justifies a more intensive treatment approach, potentially including surgery

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Document these alongside weight and metabolic changes to identify correlations between metabolic improvement and autoimmune disease activity

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Because both medications affect the GLP-1 pathway, patients at our practice may experience similar side effects, such as nausea, vomiting, diarrhea, constipation, and abdominal painespecially when starting or increasing the dose