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203-205 Another open-label controlled trial in 24 stable stage 34 CKD patients found that a low-protein diet supplemented with a synbiotic formula for six months resulted in a slower decline in GFR than a low-protein diet alone during one year of monitoring

Was it absorbed intact or was it broken down in the gut to its component amino acids and resynthesized in cells

For someone who tolerates tirzepatide well and wants the amylin add-on, it is a defensible choice

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