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Who Should Use Caution and When to Contact Your Provider Patients with a personal history of pancreatitis, medullary thyroid cancer, multiple endocrine neoplasia type 2, or severe dehydration should avoid GLP-1 therapy or use it only under close specialist supervision

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Nutrient considerations Lupus patients are frequently deficient in vitamin D, which worsens both bone health and immune regulation

5.3 SCFA production and anti-inflammatory effects Certain probiotic strains, particularly members of the Bifidobacterium and Lactobacillus genera, produce SCFAs, notably acetate, propionate, and butyrate, via the fermentation of dietary fibers (168)

Your healthcare team will provide personalised advice on dosing, timing, and monitoring requirements to ensure safe and effective treatment