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With only 40 people, 23 of whom were taking semaglutide (and the remaining 17 were on the HHL lifestyle program), the sample size is quite low

While it may not reduce fat much as Lactobacillus Gasseri it is a good supporting strain in multi-strain formulas

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Additionally, certain medical interventions, particularly cancer immunotherapies using immune-checkpoint inhibitors (ICIs), have been reported to precipitate autoimmune thyroiditis by enhancing T-cellmediated immune responses and breaking self-tolerance (Barroso-Sousa et al