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Pathogenesis of Diabetic Gastroparesis There are multiple mechanisms linking diabetes to gastric motor dysfunction, such as autonomic neuropathy, enteric neuropathy involving excitatory and inhibitory nerves, abnormalities of ICC [54] (Table 3), acute fluctuations in blood glucose, incretin-based medications used to normalize postprandial blood glucose (Table 5) and perhaps psychosomatic factors via autonomic mechanisms

It may be relevant to oxidative and acidbase stress, but it should not be described as directly removing creatinine or reversing kidney failure without stronger evidence

A Note From EarthChimp When appetite is low and meals feel like a challenge, having a simple protein option can help

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Anna Gloyn PAM gene variants driving GLP-1 resistance in ~10% of patients confirm pharmacogenomics is unavoidable in metabolic therapeutics