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History: In the early 2000s, GLP-1-based drugs (exenatide and liraglutide) were developed for the treatment of type 2 diabetes

Cycling is precautionary, not strictly necessary at standard doses

Keaveney A, Peters E, Way B

Clinical documentation in the medical record carries the audit trail Per-encounter notes link back to consent, clinical rationale, adverse-event context, and outcomes over time

Microbiome-targeted modulation technologies Fecal microbiota transplantation FMT, which transfers gut microbiota from healthy donors to patients, has become a standard treatment for recurrent Clostridioides difficile infection [225]

High doses of B12 injections can help fix these issues and stop further damage