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The same bacterial fermentation producing hydrogen sulfide (sulfur burps) also produces other gases and short-chain fatty acids that can accelerate colonic transit and cause watery stools
Plant-based sources contain much lower levels, so vegetarians and vegans tend to have lower L-carnitine levels than meat eaters
The overwhelming interest in GLP-1s is prompting scrutiny of utilization patterns, clinical outcomes, and cost-effectiveness
LuK-HCaoJOlesonSWardMPPhillipsRPowleyTLet al
In a recent sham-controlled, randomised clinical trial of patients with refractory gastroparesis (41% had diabetes), G-POEM achieved symptomatic improvement in 71% of participants compared with 22% following the sham procedure [80]
Mounjaro starts to have an effect on blood sugar levels and appetite within a few weeks
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