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These medications also slow gastric emptyingthe rate at which food leaves the stomachwhich contributes to prolonged fullness and reduced caloric intake, though this effect may attenuate over time with long-acting formulations
Nishikawa, M., Tamada, A., Kumai, H., Yamashita, F
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This indicates a problem with solubility or, worse, contamination
Henry Sobo offers supervised therapy
If there are, it could indicate a problem with the product or the mixing process
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