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Foods to Avoid Fried, fatty, greasy foods: Hard to digest and can trigger diarrhea Alcohol: Irritates the digestive tract Dairy products: If lactose intolerant Caffeine: Can stimulate bowel movements Spicy foods: Can irritate the GI tract Sugar alcohols: Sorbitol, mannitol, xylitol (in sugar-free products) Better Food Choices BRAT diet: Bananas, Rice, Applesauce, Toast Plain proteins: Baked chicken, turkey, fish Cooked vegetables: Carrots, green beans, potatoes (without skin) Plain grains: White rice, oatmeal, plain pasta Probiotics: Plain yogurt (if tolerated), kefir Management Strategies Prevent Dehydration (Critical!) Dehydration is the most dangerous complication of diarrhea on GLP-1 medications and can cause kidney damage: Drink plenty of fluids: 8-12 glasses of water daily Electrolyte drinks: Pedialyte, Gatorade, or coconut water Clear broths: Chicken or vegetable broth Monitor urine color: Should be pale yellow (dark urine = dehydration) Critical: If you become dehydrated on GLP-1 medications, it can harm your kidneys

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doi:10.1016/S0140-6736(23)01185-6 97

As for the future, he said, more medications are likely going to be on the horizon