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Nowadays, a higher proportion of elderly IBD patients with coexisting conditions, such as cardiovascular disease and/or diabetes is recorded, who require more complex treatment and became a great challenge for gastroenterologists

Light Protection for Reconstituted Solution Reconstituted solutions should be stored in the same light-protected manner as lyophilised peptides: Keep vials in a dark location within the refrigerator Use opaque vials if possible, or wrap transparent vials in foil Minimise exposure to light during preparation and use Handling and Withdrawal Procedures Sterile Technique Every withdrawal of reconstituted IGF-1 LR3 must maintain sterile technique to prevent bacterial contamination: Procedure: Clean the rubber septum with an alcohol pad Allow to air dry completely (30 seconds) Using a sterile syringe and needle, insert the needle through the centre of the rubber septum Draw the desired volume slowly and deliberately Remove needle and syringe Immediately store the vial in the refrigerator Multiple withdrawals: The bacteriostatic water preservative allows multiple withdrawals from a single vial

Indeed, we observed that patients with T2D prescribed GLP-1RAs, drugs with documented reno-protective and beneficial cardiovascular effects 24,25 , had significantly lower fasting plasma TMAO levels than propensity-score matched controls