doi: 10.1016/j.pestbp.2023.105598 46 El-ShouraE
The most effective prebiotics for semaglutide users include partially hydrolyzed guar gum (PHGG), which improves stool consistency without excessive gas production, acacia fiber, which is gentle on sensitive stomachs and feeds Bifidobacterium species, and resistant starch from cooled potatoes, green bananas, or supplements, which selectively promotes butyrate-producing bacteria
KEY POINTS TO REMEMBER Liver enzyme (ALT) activity should be measured prior to initiation of therapy (it may be considered during dose titration) and no routine monitoring is necessary during treatment continuation (unless clinical symptoms develop)
Peptides for prostate health like Epithalon can play an important role in both prevention and management
Ongoing management
Thus, while dietary vitamin B 6 restriction impairs NAD synthesis from tryptophan, adequate PLP levels help maintain NAD formation from tryptophan (10)