A recent study conducted on 41 diabetic patients demonstrated that exposure to the GLP-1 RA dulaglutide over a 48-week period was associated with a substantial decrease in non-butyrate-producing Firmicutes (e.g., Ruminococcus and Blautia ), accompanied by an increase in Bacteroides, Lactobacillus , and Prevotella (74)
production has ceased, these compounds remain environmentally persistent, posing significant health risks, such as cancer and liver damage
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The 503b pharmacies are regulated by the FDA, and some of them do contract manufacturing for pharmaceutical companies
But the reduction is often disproportionate, hitting protein intake harder than other macronutrients because protein-rich foods tend to be the most satiating and the hardest to consume when appetite is suppressed
