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Proactive communication allows preventive medication adjustments

Following this procedure, she was unable to maintain adequate oral intake and required daily parenteral nutrition in addition to limited liquid or semisolid foods

Given the suspected impairment in incretin secretion or signaling, prednisone was discontinued, while octreotide LAR was maintained (as previous withdrawal had led to worsening diarrhea), and the introduction of a long-acting GLP-1 RA was considered

JCEM Case Rep

Starvation ketoacidosis is caused by vomiting, diarrhea, and poor caloric intake induced by dual-acting GLP-1 agonists

El K, Douros JD, Willard FS, et al