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I also appreciate that it's free of added sugar and sugar alcohols, which can worsen GI symptoms

Some studies suggest that alcohol may not be well-tolerated with GLP-1 treatments

If you have Pernicious Aneamia then it is possible you have other autoimmune conditions, for instance Hashimotos (where the immune system attacks the thyroid), type 1 diabetes, Sjogrens Syndrome etc

The practice is making a decision based on what is easiest for the surgery, not what is best for the patient

So while we arent comparing apples to apples when comparing GLP-1 stimulated via diet versus a GLP-1 from medication, we also know that not everyone can take a GLP-1 medication