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An open question remains whether chronic use of GLP1RAs will result in tachyphylaxis of the gastric slowing effect, which will mitigate the risk of DDI [51,52,53]

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62,63 Those meta-analyses did not include the FIGHT and LIVE studies, which included patients both with and without diabetes

Those taking warfarin should exercise caution and monitor INR levels when starting or stopping probiotics, as some bacterial strains might theoretically affect vitamin K production, though evidence is limited and this concern does not apply to direct oral anticoagulants (DOACs)

But even that doesnt always work when I've been there