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For persistent symptoms, a short-term trial of a low-FODMAP diet under the guidance of a registered dietitian may be beneficial for some patients

Cycling protocols vary between practitioners, with some recommending continuous use and others suggesting 4-6 week cycles with 1-2 week breaks

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First, patients taking any form of organic nitrate (nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, or amyl nitrite) should not add BPC-157 to a sildenafil-containing regimen, as the triple vasodilatory burden is unpredictable

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Anyone interested in GLP-1 therapy should discuss FDA-approved options with a qualified healthcare provider