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The balance between these beneficial and harmful metabolites depends heavily on the gut microbiota composition, and an altered composition compared to a healthy one can lead to more harm than good
The most common are corticosteroids (like prednisone), IVIG (for a rapid boost), and TPO-RAs like Eltrombopag (Promacta) that stimulate the bone marrow to produce more platelets
GLP-1 peptides commonly cause: Significant nausea : Often severe enough to require dose titration over months
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