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Aside from thiamine, the following nutrients have been shown to exert positive effects on the intestinal barrier and can be extremely useful: Lactoferrin an iron-binding glycoprotein found in abundant levels in mammalian milk, has been shown in numerous studies to counteract intestinal inflammation and permeability Serum-derived immunoglobulin concentrated immune proteins isolated from animal serum which can successfully bind with antigens, also shown to restore gut barrier function Saccharomyces boulardii a transient yeast used in the treatment of diarrhea and impaired intestinal barrier Sodium Butyrate a short-chain fatty acid synthesized by intestinal microbes that can be taken in supplemental form

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Resume at your normal dose on the next available day

(26) This retrospective cohort study included 74,475 patients with type 2 diabetes taking either an SGLT2-I, GLP-1, or sulfonylurea, with sulfonylureas serving as the reference group