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The scientific question is whether GLP-1 medications may reduce some of that drive toward alcohol in the same general way they may reduce appetite or food noise for some patients

If the patients GLP-1 agonists prescribed for diabetes management are held for longer than the dosing schedule, the guidelines urge surgeons to consider consulting an endocrinologist for bridging the antidiabetic therapy in order to avoid hyperglycaemia

Patients have seen big changes, like no longer needing blood pressure meds or losing a lot of weight

The typical supplementation protocol involves a loading phase of 20 grams daily (divided into four doses) for 5-7 days, followed by a maintenance dose of 3-5 grams daily

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In those cases, I evaluate whether skin-removal surgery may provide a more meaningful correction