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Use peptides as an adjunct

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In short, the PD gut microbiome tends to harbor fewer good SCFA-producing, anti-inflammatory bugs and more bad pro-inflammatory, mucus-depleting bugs

Brain: A Journal of Neurology, 127(Pt 12), 25722583

Several limitations exist with oral semaglutide: Absorption challenges: Must be taken on an empty stomach with minimal water, and you cannot eat or drink anything else for 30-60 minutes afterward, which can be inconvenient for many patients