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Although the results of the above studies differed, it is believed to be reasonable and may be due to the interference caused by environmental factors such as assay technique, the subjects diet, and lifestyle on the intestinal microecology

"That's all you're eating?" "You need to eat!" "One bite won't hurt!" Have your responses ready: "I'm full, thanks." "My doctor has me eating smaller portions." "I'll take the rest home." You don't owe anyone an explanation about your food choices

I always tell my patients, You should not know youre on a GLP-1

Next step: Endocrine workup including morning cortisol and ACTH levels