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Less commonly, patients have reported pancreatitis and gallstones due to sluggish flow of intestinal fluids as well as bowel obstruction due to slowed intestinal motility

For instance, foods high in vitamin K, like leafy greens, can interfere with warfarin and affect INR levels

For women with PCOS who had irregular cycles before starting treatment, GLP-1 therapy sometimes produces the opposite effect: improved cycle regularity as insulin resistance decreases and androgen levels normalize

The data also highlights notable differences between specific GLP-1 products

Heart failure with improved versus persistently reduced left ventricular ejection fraction: a comparison of the BIOSTAT-CHF (European) study with the ASIAN-HF registry

If you suspect SIBO or dysbiosis is driving your histamine intolerance, the most useful first step is testing