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Current clinical evidence suggests that starting GLP-1 therapy in gastroparesis requires careful medical evaluation and baseline gastric function assessment, not automatic exclusion from treatment

In short, only dilute with bacteriostatic water if the drugs instructions explicitly allow it

Palomino, Rafael I

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Most studies investigating combination treatments (e.g., GLP-1RAs with metformin) are in phase IV ( n = 8), assessing long-term effects and comparative efficacy in real-world settings