The most important rule is to start low and go slow
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The relevance for autoimmune patients includes potential effects on bone density (important for patients on corticosteroids or with conditions like lupus that increase osteoporosis risk) and additional anti-inflammatory pathways that GLP-1-only drugs do not activate
Gather your GLP-1 vial, insulin syringe, alcohol swabs, and sharps container
If the bile ducts, which carry bile from the liver to the intestines, are blocked, bilirubin builds up