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Note: The studies listed above show associations, not definitive proof of causation

GI side effects, anesthesia risk with GLP-1 agonists: what to know

A validated insulated shipper matched to your lane (summer/winter), with the correct type and mass of refrigerant (PCM/gel/ice), documented pre-conditioning, and an SOP for packout

Stimulation of pyloric motility by intraduodenal dextrose in normal subjects

Finally, protein intake is likely inadequate due to the appetite suppression that can come as a side effect of taking GLP-1s

Translating that signal into real-world practice requires moving beyond the question of whether to combine these therapies toward the more demanding question of how, for which patients, at which stage of the transition, and with which specific formulations