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These molecules feed into the citric acid cycle and the electron transport chain, driving ATP synthesis
Exclusionary criteria included any reported history of significant cardiorespiratory complications or recent lower extremity musculoskeletal injury that might limit high intensity exercise efforts
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The ideal frequency depends on your individual health goals
Other research highlights: 30% of GLP-1 users tested positive for SIBO or IMO even after accounting for diabetes (5) GLP-1 medicines caused microbiome changes and altered metabolism in mice (6) GLP-1 medicines tested in humans only had noticeable microbiome changes by 48 weeks (7) Despite not necessarily having slower gut motility, one study found that 88.9% of obese patients had SIBO (8) A meta analysis of people with IBS symptoms, found that up to 78% of people had SIBO, many of whom were undiagnosed (9) Overall, Sun and colleagues (1) could not prove a mechanistic link between GLP-1 medications and SIBO, however they did find that SIBO was twice as likely in GLP-1 users
