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A medically guided evaluation may include: A detailed symptom history Timing of digestive symptoms and possible triggers Medication and supplement review Past antibiotic, NSAID, acid blocker, or GLP-1 medication use when relevant Food tolerance patterns and elimination diet history Bowel habit review, including constipation or diarrhea patterns History of IBD, IBS, reflux, ulcers, gallbladder disease, pancreatitis, celiac disease, or autoimmune conditions Skin, allergy, histamine, or MCAS-type symptoms when relevant Lab-informed decisions when appropriate Discussion of whether peptide therapy is appropriate or whether another step should come first This process helps avoid guesswork

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Qiu et al., 2022