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Providers should re-test beta-glucuronidase levels after three to four months using tools like the Vibrant Wellness Gut Zoomer and evaluate estrogen metabolite profiles using the Urinary Hormones Test

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For further information on SGLT-2 inhibitors and DKA, see: When initiating dulaglutide (Table 5), reinforce lifestyle advice and offer support as required, and provide information on how to administer treatment (see below)