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In full-practice-authority states (like Washington, Oregon, Montana, Maryland, and about 20 others), experienced PMHNPs can prescribe weight-loss medications including GLP-1s independentlyprovided its within your competency

It can be caused by changes in how the intestines absorb fats and sugars, or by the irritation of the gut lining due to altered bile acid processing

Some patients notice heartburn improves sooner if they make dietary and lifestyle adjustmentseating smaller, more frequent meals instead of large portions gives your slower stomach more manageable amounts of food to process

Moreover, the majority of studies that reported the detrimental effects of SCFAs were conducted using GF mice, 56,190,196,199 which are functionally and structurally abnormal across various physiological functions