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We consider surgery for ongoing bleeding, instability despite efforts, or when endoscopy cant control the bleeding

And in my experience with complex patients, the mast cell, POTS, and chemically sensitive populations who cannot tolerate aggressive pharmaceutical interventions under any circumstances, this gentler approach has made GLP-1 therapy accessible to people who would have been completely excluded from it at standard doses

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For arginine-free diet studies involving clinical outcome, only animals developing peak disease (score 3) were included

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