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Because GLP-1 medicines can also reduce insulin resistance, I had to reduce my long-acting insulin by about 20% to avoid hypoglycemia, which can be severe unless insulin therapy is modified before starting

One such option is Endoscopic Sleeve Gastroplasty, often called ESG

Enteroendocrine localization of GLP-2 receptor expression in humans and rodents

Nails should be kept short and local trauma such as nail biting or sucking should be avoided to prevent the Kebner phenomenon.6 Therapeutic options include urea-based creams, clobetasol nail lacquers, calcipotriol, tazarotene, topical corticosteroids or combination therapies, methotrexate, and, in severe cases, biologic drugs.8,31 Intralesional corticosteroids are rarely used in children due to the pain associated with infiltration

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