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As a stimulant, it increases heart rate and blood pressure, which puts extra strain on the cardiovascular system

Hector Perez, a board-certified bariatric surgeon, believes the interest in these probiotics could also be "an aftereffect of the success of GLP-1 drugs, which have now brought public focus on gut microbiome and weight loss." He notes that more people are beginning to connect that metabolism goes beyond calories and may be shaped by gut health
For instance, people with a history of thyroid cancer or certain thyroid diseases, pancreatitis, or kidney disease may be advised against using it

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No meta-analysis was undertaken in this review, and findings are based on a qualitative synthesis of selected studies

Before: avoiding physical activities with friends or family due to embarrassment or inability
