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Keep the 2 to 3 hours before GH secretagogue injections low-carb or carb-free

Short-acting agents primarily work by slowing gastric emptying to reduce postprandial blood glucose levels, while long-acting GLP-1 RAs are more effective at lowering fasting blood glucose levels, mainly by promoting insulin secretion and inhibiting glucagon release

Patients with definite gastroparesis have a 5-year survival rate of only 67% compared to 81% expected in the general population, and many require hospitalization for feeding tube placement or total parenteral nutrition to prevent starvation

McCarthy: Im a basic science researcher using animal models

doi: 10.1016/j.arres.2021.100015 240 SariolA.PerlmanS