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Since colonoscopy requires fasting and a liquid diet, diabetic patients must carefully manage their insulin and medication doses to prevent hypoglycemia

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However, there is also a possibility that some of the effect may be independent of GLP-1, because DPP-4 inhibition still reduced -cell apoptosis in human islets cultured in the presence of exendin 9-39 (99), suggesting that other mediators might be involved, but it was also suggested that an anti-inflammatory action could have played a role (99)

Therefore, we recommend clinicians against relying solely on BMI to evaluate sarcopenia in liver cirrhosis