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There are additional rare but serious side effects you should be aware of when taking GLP-1s, including: Severe abdominal cramping Significant pain during bowel movements Bloody stool Persistent vomiting These side effects could indicate an intestinal blockage or gastroparesis and you should discontinue your medication and seek medical advice immediately

S., Rokutan, K., Johnston, R

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Rapid weight gain of more than 3-5 pounds within a few days, particularly when accompanied by shortness of breath, leg swelling, or abdominal distension, may indicate fluid retention related to cardiac or renal dysfunction

Add 1 g of inulin to feed those bugs and 100 mg of berberine for metabolic support, and Mosand tackles appetite from the inside out