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Akkermansia Probiotic: We use a pasteurized form of this probiotic, naturally found in the gut microbiome

The figure shows the chemical structures of an unsaturated lipid, a lipid carbon-centered radical, a lipid peroxyl radical, and a lipid hydroperoxide

GLP-1 receptor agonists are contraindicated in individuals with a history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2

Weight management significantly impacts GERD severity for those carrying excess pounds

In addition to natural aging, environmental causes include: Chronic exposure to chemical toxins Cadmium exposure Alcohol use Smoking Pollution Poor diet (Standard American Diet (SAD)) Stress Certain medications (Tylenol) UV radiation exposure Certain illnesses are known to decrease glutathione levels

We adjusted for patient age, sex, race, ethnicity, Social Vulnerability Index quintile, starting BMI, weight change after treatment, history of insulin usage, and starting HbA1c