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glp 1 and bowel movements Effects of GLP-1 receptor agonist on changes in the gut bacterium the underlying mechanisms Fixing GLP-1 Constipation
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Galaris, N.K

While effective at achieving and maintaining weight loss, long-term use of incretin mimetics is likely needed to maintain weight since weight regain is common following drug discontinuation, with a return to baseline within a year 12,13
Methylcobalamin (active B12) is particularly relevant for autoimmune patients, many of whom have compromised B12 absorption due to gut inflammation or medications like methotrexate

Furthermore, the 5 mg, 10 mg, and 15 mg doses exhibited superior weight loss and glycemic control relative to dulaglutide (1.5 mg), while maintaining an acceptable safety and tolerability profile

doi: 10.1111/dom.14255 Endocrine Society
