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This is particularly relevant given that chronic kidney disease affects an estimated 37 million adults in the United States alone

56,57 Additionally, the efferent arm of this reflex mechanism can be stimulated by direct activation of neurons in the dorsal vagal complex

The right mix of high-fiber, low-carb foods and enough protein can help you feel satisfied, protect your muscles, and make the whole journey more comfortable

10.1007/s10787-022-00956-6 Inflammopharmacology 4 Aviles-OlmosI.DicksonJ.KefalopoulouZ.DjamshidianA.EllP.SoderlundT.et al (2013)

We recently encountered a similar case at our institution - a 49-year-old woman with type 2 diabetes, obesity, and chronic pain on long-term narcotic therapy, who presented with abdominal distension and vomiting after two years of tirzepatide (Mounjaro) therapy

These medications slow gastric emptying, which is how they promote fullness, but this also slows the entire digestive system
