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Starting with current fiber intake and increasing by approximately 5 grams weekly allows the digestive system to adapt while minimizing potential discomfort
While this sounds promising, larger studies are needed to fully understand the potential of these treatments for psoriatic arthritis
Important safety considerations include risk of thyroid C-cell tumors (contraindicated in MEN2 or personal/family history of medullary thyroid carcinoma), pancreatitis, gallbladder disease, hypoglycemia when used with insulin or secretagogues, and potential worsening of diabetic retinopathy in some patients
Cigna could also be on the hook for excess costs if the drugs and its lifestyle modification program are unsuccessful in changing members outcomes
PMID: 29523133
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