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Bonati of the Bonati Spine Institute wants patients who take those drugs to understand how to approach surgical procedures
Key Mechanism: Fiber slows digestion Reaches the colon fermented by gut bacteria Produces compounds that trigger GLP-1 release Two-Phase Effect: Immediate GLP-1 release after eating Second boost (48 hours later) Second Meal Effect Helps: Reduce cravings between meals Improve next-meal appetite control Best Fibers for GLP-1 Fermentable Fibers (Most Effective) Beta-glucans: Oats Barley Rye Seaweed Mushrooms Other Soluble Fibers Apples Pears Legumes: Lentils Chickpeas Peas 2

Oral semaglutide delivered meaningful reductions in HbA1c and body weight among GLP-1RA-nave adults with type 2 diabetes in a Dutch real-world cohort
A follow-up at the end of the 3rd week to track any side effects as well as additional questions

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