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GLP-1 therapies commonly cause nausea, vomiting, and delayed gastric emptying
Never combine it with sildenafil or tadalafil without medical advice
On GLP-1 medications, you're fighting three dehydration mechanisms simultaneously: Reduced thirst signaling (central appetite suppression affects thirst centers) Reduced fluid intake with meals (nausea makes drinking unpleasant) Ongoing fluid loss from glycogen metabolism during weight loss The result is chronic mild dehydration in a substantial portion of patients during titration
Seasonal histamine challenges aren't about a broken immune systemthey're often a histamine breakdown problem
Reminder: few foods contain solely one macronutrient
The mechanism typically involves IgE-mediated hypersensitivity, particularly with exenatide-based medications that have a non-human peptide origin
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