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Artificial Sweeteners Gut Disruptors Sucralose, aspartame, and acesulfame potassium may disrupt gut bacteria and affect the gut-brain axis a system already impacted by GLP-1 medications

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The cloudiness could be due to bacterial contamination or an issue with the peptides stability or purity

Similarly, while no dose adjustment is required, caution should be exercised in patients with severe hepatic impairment due to limited clinical experience

Perhaps the better approach is to use an algorithm that includes gastric ultrasound, rapid sequence induction if GA is required, and greater use of clinical signs

doi:10.2337/dc21-1953 76