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Gastrointestinal infections: Infections that affect the gut, such as Helicobacter pylori, may lead to reduced DAO activity

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What to Limit Packaged snack foods chips, cheese puffs, crackers, pretzels Processed meats hot dogs, deli meats (unless nitrate-free), bologna, spam Instant noodles and ready meals high sodium, low protein, low fibre Meal replacement bars marketed for weight loss many are ultra-processed with sugar alcohols that cause GI symptoms Sugary or flavoured coffee drinks Frappuccino-style drinks routinely exceed 400 calories with zero satiety Diet sodas in large quantities while zero calorie, artificial sweeteners can trigger nausea in some patients The nutritional deficiency risk is real

What may change after approval If retatrutide reaches FDA approval, the pricing conversation could shift from a patchwork of self-pay options toward a more familiar system