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Accelerated gastric emptying with rapid increases in glucose and AA absorption, together with elevations in GLP-1 and other intestinally derived hormones, contributes to increased postprandial insulin secretion and subsequent hypoglycemia (20)

Unlike standard hormones used in HRT, bioidentical hormones are metabolized by the body in the same way as natural hormones, which means they offer a more gentle and effective approach to hormone replacement

A consultation with a qualified medical professional is recommended to determine realistic expectations and ensure that treatment protocols are safe and appropriate

Even with oral supplementation, deficiencies may persist due to reduced intrinsic factor or altered digestion

Hence, there remains a concern for delayed gastric emptying and possibility of increased preoperative residual gastric volume

Oral-gut microbiota and arthritis: is there an evidence-based axis