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It is essential to understand the cumulative effect of GLP-1 RAs on the quality of bowel preparation to be able to guide patients and better understand the appropriate measures and counseling that need to be taken before undergoing colonoscopies

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The best fermented options include: Plain Greek yogurt (not the sweetened kind) Kefir Sauerkraut Kimchi Miso Tempeh Aim for one serving of fermented food daily

Interestingly, a single amino acid modification to this tolerogenic epitope is sufficient to break tolerance and dramatically increase the immunogenicity of the peptide [9]

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