This is also evidenced by observations that changes in intestinal motility and the gut microbiota are key factors in IBS, along with inflammatory immune activation, all three factors that converge in a feedback loop [295]
Since 2025, the FDA has also flagged compounding facilities for safety reporting failures, such as concealing a patient's hospitalization for gastrointestinal issues after using compounded semaglutide
A 2021 study in Primary Care Diabetes (N=4,218) found that patients who had a follow-up visit within 90 days of GLP-1 RA initiation were 34% more likely to reach PDC 80% at 12 months than those without early follow-up 10
Notably, lack of replication in publicly available datasets does not necessarily exclude biological relevance, particularly for variants that may be ancestry-specific or underpowered in prior studies
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