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All described studies evaluating small intestinal permeability used a 5 or 6 h urinary collection to assess small intestinal permeability, which may have confounded the results since a large amount of the sugars were probably already localized in the colon by the end of the urine collection (73, 74)

Proton pump inhibitors, H2 receptor antagonists, and prokinetic agents may have altered effectiveness due to tirzepatides effects on gastric function

Trends Cancer 6 , 838857 (2020)

A consultation helps determine whether peptide therapy belongs in the discussion, whether lab work or another evaluation should come first, and which options may fit the broader care plan