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Furthermore, similar reductions in counterregulatory hormones occur after meals in patients with PBH 139

For example, patients with severe gastrointestinal issues, like significant gastroparesis or a history of pancreatitis, should proceed with caution

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Tirzepatide, a dual GIP/GLP-1 receptor agonist approved for type 2 diabetes and chronic weight management, slows gastric emptying and suppresses appetite, making strategic nutrition essential

Employees using these medications may benefit from nutrition guidance and working with a Registered Dietitian, adequate protein intake, and strength training support (Reference)