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The honest answer is we don't yet have enough evidence to say that GLP-1 medications directly cause SIBO

Here are five steps to follow for a smoother transition.1

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Stewart and Ogden, 2019) and, compelling evidence indicates that maintaining an elevated BMI over the long term significantly increases the risk of developing chronic diseases (Sainsbury and Hay, 2014), body positivity became a robust cultural narrative, encouraging society to respect the dignity of all body sizes and to question the assumption that thinness equates to health (Holi, 2025

That said, if you experience unusual symptoms after starting or changing doses of either medication, including agitation, rapid heartbeat, muscle twitching, or excessive sweating, contact your provider promptly