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The US Preventive Services Task Force recommends screening beginning at age 45 for average-risk individuals, regardless of GLP-1 use

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So the concern is not irrational

Conclusion: This trial demonstrated that at-home bowel stimulation prior to loop ileostomy closure is feasible and can be a viable option in future implementation

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Castilla-Cortazar I, Diez N, Garcia-Fernandez M, Puche JE, Diez-Caballero F, Quiroga J, Diaz-Sanchez M, Castilla A, Casares AD, Varela-Nieto I: Hematotesticular barrier is altered from early stages of liver cirrhosis: effect of insulin-like growth factor 1