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Proinflammatory mediators such as interleukin-6 (IL-6), interleukin-1 (IL-1), and LPS have also been reported to directly stimulate GLP-1 secretion from intestinal endocrine L cells

[DOI] [PubMed] [Google Scholar] 109.Wadden TA, Bailey TS, Billings LK, et al

Dietary Changes That Minimize Sulfur-Producing Foods Certain foods ferment more readily in a slower-moving stomach and should be temporarily reduced while you adjust to semaglutide

Continuing them at full strength while tirzepatide is also lowering blood pressure can create excessive fluid loss