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The article's table says reduced clearance affects GLP-1 metabolism, increasing drug exposure and with it the potential for low blood sugar

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To address this, providers sometimes recommend a daily multi-vitamin, especially if the children: Have self-restricted diets Follow a specific diet (for example, if a child is consuming a diet free of casein, a multi-vitamin may be necessary to ensure adequate vitamin D and calcium intake.) Have chronic diarrhea, constipation, or gastrointestinal inflammation The use of mega-dose vitamins and nutritional supplements beyond a multi-vitamin are not fully supported for routine use

Supplementary Information 12916_2025_4200_MOESM1_ESM.docx (download DOCX Additional file 1: Tables S1S4