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The GLP-1 family acts heavily on the gut-brain axis through slowed digestion and reduced hunger signalling

GLP-1 and GIP/GLP-1 medications have boxed warnings regarding thyroid C-cell tumors (contraindicated in patients with personal/family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2) and carry risks of pancreatitis, gallbladder disease, and diabetic retinopathy progression

4 Mechanisms of dysbiosis on GERD Ecological dysbiosis is an abnormal state of the microbial ecosystem in the host (39)

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