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Increased Gastrointestinal Side Effects Both berberine and Zepbound can cause cramping, bloating, or loose stools
This creates a starvation-nausea loop. Small, frequent snacks are much safer and more effective than skipping meals entirely
Nielsen B, Cejvanovic V, Wrtwein G, Hansen AR, Marstal KK, Weimann A, Bjerring PN, Dela F, Poulsen HE, Jrgensen MB
Chinese Society of Endocrinology & Chinese Diabetes Society
There is also a long-term planning question
404055 Perraudeau F, McMurdie P, Bullard J, Cheng A, Cutcliffe C, Deo A, et al (2020) Improvements to postprandial glucose control in subjects with type 2 diabetes: A multicenter, double blind, randomized placebo-controlled trial of a novel probiotic formulation
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