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Discontinuing an evidence-based IBD therapy like a biologic in favor of an unregulated peptide carries an exceptionally high risk of inducing a severe, uncontrolled disease flare that could lead to hospitalization or surgery

DPP4 is involved in the degradation of GLP-1, GIP, as well as glucagon to biologically inactive fragments

2004;50:S70S74

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L-Carnitine can be very important to those following a Keto diet as the higher fat intake requires more fatty acids to be shuttled into cells to be burned by the cells mitochondria, which means more Carnitine is used than normal by the body, depleting levels