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If a dose change or supportive medication is needed, it happens during your visit not days later after an email chain

There is no clean answer for everyone

These are generally mild to moderate and tend to improve with continued dosing

Recently, two mechanisms involved in the gut-brain axis have attracted increasing attention due to their role in the pathogenesis and progression of PD, namely, disruption of the composition of microorganisms living in the intestine (intestinal microbiome) and dysfunction of enteroendocrine cells, accompanied by impaired signaling through the GLP-1R [60]

Furthermore, the extent of such side effects depends on the desired dosage