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When It Might Be Time to Talk to Your Doctor If youve walked through the steps abovechecking your cycle, adjusting your nutrition, and re-engaging your mental toolsbut the food noise still feels as loud as it was before starting medication, it might be time to reach out to your provider

Researchers should consult relevant institutional review boards and regulatory bodies before initiating any research protocols

Mark Pimentel, MD, Executive Director of the Medically Associated Science and Technology Program at Cedars-Sinai, and a leading expert on microbial overgrowths, puts it this way: Any factor that slows down the speed of flow [of food] through the small intestine has the potential to cause [bacterial] overgrowth. This is important for patients assessing their SIBO risk, because studies suggest GLP-1 signaling can inhibit aspects of the Migrating Motor Complex (MMC)

Some patients tolerate faster escalation, while others benefit from extended periods at each dose level