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Particularly, the ability to reduce weight has increased their use among patients who are obese but do not have diabetes

That in itself is telling

In the largest multicenter trial to date ( n = 144), the study protocol systematically recorded adverse events including needling pain, hematoma, bleeding, fainting, and local infection, with serious adverse events defined as those requiring hospitalization or resulting in persistent disability (1)

The constant switching prevents the body from establishing a predictable rhythm and makes side effects harder to manage

Nutritional safety and status following a 12-week strict low FODMAP diet in patients with irritable bowel syndrome