Depending on the history, this may include stool testing, celiac and permeability markers, dietary assessment, infection evaluation and treatment of constipation, reflux or dysbiosis
Patients with GI sensitivity: While orforglipron's GI side effect profile is broadly similar to injectable GLP-1s, the daily oral dosing means the GI tract is exposed to the active compound on a different kinetic schedule than weekly injections
M., Astrup, A., Wycherley, T
5-HT administered intravenously 290 or intraluminally 291 activates intestinal VANs and myenteric neurons 292,293 in rats
They bind the GHRH receptor on pituitary cells and stimulate GH synthesis and release