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A comprehensive list of causes of constipation is noted in Table 23-17 , but the underlying causes can usually be attributed to 1Reticence to defecate, because of aColorectal or anal pain bDifficulty squatting 2Inability to defecate, because of aFecal factors (including dehydration and fecal bulk) bColon factors (poor peristalsis) 3Physical obstruction (less common), such as aMass (discrete foreign bodies do not obstruct distally in cats) bTrauma resulting in pelvic canal narrowing TABLE 23-17

Como adelant la nutricionista Mnica Katz en Clarn el vienes pasado, genera un efecto sinrgico: mientras GLP-1 disminuye el apetito, mejora la saciedad favoreciendo un vaciamiento gstrico ms lento, el GIP acta directamente sobre el tejido adiposo y genera prdida de peso predominantemente a expensas de masa grasa

Of course, all of the patients in this study were getting coaching on lifestyle changes family therapy on diet and exercise

Fiber intake (25-30 grams daily)