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Your pelvic PT will work with you to establish an effective bowel routine that may include certain stretches, timing certain meals, or setting aside some quiet time to sit on the toilet after meals

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Several studies show that metformin can increase plasma active GLP-1 level through enhancing GLP-1 secretion from intestinal L cells 21 or inhibiting dipeptidyl peptidase 4-mediated GLP-1 degradation 22,23