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While results vary, the strain choices-Akkermansia muciniphila, Clostridium butyricum, and Bifidobacterium infantis-are consistent with the stated purpose of supporting appetite and blood sugar regulation through the gut

There are some add-on drugs approved for use alongside insulin, but Shah envisions Ozempic-like drugs as a potential firstline treatment

Let us translate them into practical outcomes for different starting weights

We recommend patients seek out and review the prescribing information and medication guides (available online) for any prescription medication to help guide an informed conversation with the prescriber