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Intake of water-soluble dietary fiber, including pectins, gums, fructans and some resistant starches, has been shown to have many similar effects to the goals of GLP-1 therapy , such as: regulating both short and long-term glycemic control improving insulin sensitivity lowering blood cholesterol reducing the risk of cardiovascular disease 31,32 Both soluble and insoluble fibers also modulate microbiome composition and function, improving digestive health and supporting weight management

Fortunately, in most patients, brisk production of erythropoietin from the new allograft negates the drop in hemoglobin, despite blood draws

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An alteration in the microbiome by metformin may also be a potential cause of GI intolerance

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Your doctor can help you determine what kind of exercise is best for you