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The factors of visceral neuropathy, acute dysglycemia, dysbiosis, and intestinal bacterial overgrowth contribute to the gastrointestinal symptoms in patients with diabetes, making it necessary to consider multiple etiologic factors in the presence of gastrointestinal symptoms, and not exclusively attribute them to the use of antidiabetics

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The concern is that excess protein gets converted to glucose and kicks you out of ketosis

The maintenance conversation happens at our practice constantly usually after a patient has reached goal weight and wants to know whether they really need the medication anymore