Most GLP-1R agonists have gastrointestinal side effects, including nausea, vomiting, diarrhea and constipation, which may be more pronounced in elderly patients with AD and affect treatment compliance
Mast Cell Activation Syndrome (MCAS) is when mast cells become overly responsive and easily triggered and therefore, release a lot of histamine
Jardiance, on the other hand, could cause ketoacidosis (a dangerous level of ketones in the blood), severe urinary tract infections, and may increase cholesterol levels
Secondary bile acids, modified by microbial bile salt hydrolases (BSH), function as signaling molecules through receptors such as FXR and TGR5, influencing microbial composition by selectively suppressing pathogens and promoting symbionts like Bacteroides 40,46
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Less common but serious concerns - Acute pancreatitis has been reported with GLP-1 RAs