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NB: Must have certification in IM administration and certification in the administration of Glutathione

Tomiyama et al

This potentially reduces medication side effects, making the therapy more comfortable and sustainable for your patients

Patients who have a low GSH:GSSG ratio or high urinary 8-OHdG can have their selenium serum level measured

Prokinetic agents and gastric decompression Prokinetic agents such as metoclopramide may be considered in selected clinical contexts, but current evidence is insufficient to rely on them as a predictable solution for GLP-1-associated retained gastric contents

Pancreatitis History: Patients with a history of pancreatitis, as GLP-1s can increase the risk of recurrence