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Safety Evaluation and Provider Decision Framework Before starting any GLP-1 medication, patients with ulcerative colitis should undergo thorough evaluation including disease activity assessment, recent colonoscopy findings, current immunosuppressive therapy, and baseline gastrointestinal symptoms

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Unprocessed, protein-heavy snacks are allowed, but most sweets and processed foods are limited on the GOLO diet

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Berberine demonstrates glucose-lowering effects, insulin sensitivity improvements, and modest weight loss in clinical trials

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