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While patients may be eager to follow standard instructions for bowel prep, those on GLP-1s often face insufficient bowel cleansing due to delayed gastric emptying and slowed GI transit time core pharmacologic effects of these medications

Approaches that aim to ensure availability of these substrates include dietary modifications or the administration of specific food-derivatives termed prebiotics

Over the course of this interview, she shares how she evaluates peptides, why gut function is foundational to hormone optimization, how she approaches GLP1 microdosing, and what she watches for in long-term care