Treatment pathways in confirmed cases include limiting dietary precursors, short thoughtfully prescribed antibiotic courses, and specialist care with a metabolic clinic for complex cases
While these trials excluded patients with a formal diagnosis of type 2 diabetes, its highly plausible that a substantial proportion of participants had early metabolic abnormalities, such as insulin resistance , elevated fasting insulin , or even undiagnosed prediabetes
10.1002/jbmr.2564 Summary Keywords glucagonlike peptide1 receptor agonist, randomized controlled trial, older adults, bone mineral density, bone turnover Citation Dinkla L, Beavers KM, Robbins R, Akpalu D, Wherry SJ, Miller G, Beavers DP, Espinoza S, Trejo J, Stepanenko A and Cortes TM (2025) Bone mineral density and turnover response to GLP-1 receptor agonists in older adults with overweight/obesity and prediabetes/type 2 diabetes: a 20-week pilot trial post hoc analysis
Patients with Hashimoto's thyroiditis often experience metabolic challenges that extend beyond thyroid dysfunction