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However, gastrointestinal effects of these medicationsparticularly delayed gastric emptyingcould theoretically affect levothyroxine absorption if medications are taken simultaneously

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Like GLP-1 agonists, dipeptidyl peptidase-4 (DPP-4) inhibitors, which block the degradation of GLP-1, also cause attenuation of the inflammatory responses

Instead, the soluble fiber passes through the small intestine, bypassing enzyme breakdown, and is slowly fermented by gut bacteria in the large intestine