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Description
Ileus can cause blockage because when your intestines arent moving, food material can begin to back up

Diabetes 4 , 190201 (2013)
The FDA prescribing information does not mandate gradual dose reduction

Kaufer, J

It's an over-the-counter fiber and metabolism supplement, not a GLP-1 receptor agonist medication
Losing further muscle mass worsens insulin resistance, slows metabolism, increases pain, compromises lymphatic function, and makes long-term management significantly harder