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Referral to gastroenterology should be considered for patients with refractory symptoms despite optimal primary care management, or when the diagnosis is uncertain

2.4 ATP Biosynthetic Process The primary energy source for ATP production originates from glutamine which becomes -ketoglutarate (-KG) thanks to glutaminase activity

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Primary Claim: 46% More Weight Loss According to publicly available disclosures on the company's website, Ivm Health states that "Ivim patients following the Ivim Protocol lost an average of 46% more weight over 68 weeks when compared to another published clinical GLP-1 trial that included a daily 500-calorie deficit, 150 minutes of weekly exercise, and in-person counseling every four weeks." The company explicitly states this was "not a head-to-head study," meaning Ivm patients were not directly randomized against a control group in the same trial