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Description
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This method can lead to overeating or digestive discomfort, and its restrictive nature may also cause unpleasant side effects like binge eating, fatigue, or nutrient imbalances

Sources US Food and Drug Administration
One is the addition of prebiotics, at least in Akkermansia and Glucose Control

This means it happens in people who dont have a family history of MTC

Many clinical trials have proven GLP-1R agonists effectiveness and safety in treating or preventing obesity (14)