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The gut microbiome is altered in obesity and T2D, an effect known as dysbiosis, where the ratio of the main bacterial phyla ( Firmicutes and Bacteroidetes ) becomes imbalanced, reducing diversity while the relative abundance of certain bacteria, including opportunistic pathogens, increases (Larsen et al., 2010)
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By implementing these strategies, many IBS patients are able to successfully continue GLP-1 therapy and even see improvements in their IBS management
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