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The medication's gastrointestinal effects may complicate IBD management, particularly in patients with strictures or active disease, so decisions should involve both your gastroenterology and prescribing teams
Hypoglycemia is uncommon when these drugs are used on their own, but it can happen if you also take insulin or sulfonylureas
This pattern occurs consistently when meal timing is irregular or when insulin and leptin signaling are blunted: the brain receives mixed signals, so the hedonic reward centers amplify food cues even while homeostatic inputs are weak
They may recommend that you taper your dose down over a few days or weeks
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