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Segal is a Fellow of the American College of Surgeons

Semaglutide GLP-1 can help patients achieve a level of weight loss previously unattainable outside of invasive surgery

The effects of SGLT2s inhibitors on hemodynamics and glomerular hyperfiltration seem to be robust whereas those of GLP-1RAs have not been established

Practical Application Polyphenol-rich foods: Pomegranates, cranberries, grapes, green tea Omega-3 fatty acids: Fatty fish, walnuts, flaxseeds Prebiotic fibers: Chicory root, Jerusalem artichokes, garlic, onions Intermittent fasting: Research suggests fasting periods may increase Akkermansia populations Adequate sleep: Poor sleep quality correlates with reduced Akkermansia levels Exercise: Regular physical activity supports beneficial gut bacteria diversity What to Avoid: Excessive artificial sweeteners and emulsifiers in processed foods may negatively impact Akkermansia populations

The most important shift is moving toward care that is tailored to youyour biology, your values, and your life

noted that GLP-1RA medications may help protect against the development of pancreatic cancer