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2022 Mar;61(2):1057-1072

These results indicate that GLP-1RA inhibits the immune-related pathway in gut and increases the abundance of AKK

Dehydration, often precipitated by diuretics or large-volume paracentesis, reduces effective renal perfusion and may impair renal ammonia excretion, leading to increased systemic ammonia levels

Im also on a GLP-1 medication

A common pattern is thigh, abdomen, thigh, abdomen, rotating left and right within each region

These side effects are most common in the first days and weeks after beginning GLP-1 therapy or after increasing dosage, but for some patients, they may persist for longer