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GI side effects like vomiting or diarrhea can cause dehydration, worsening dryness.Microbiome disruption: Since GLP-1 drugs slow digestion, they can alter gut bacteria

The second ingredient, metformin, is a biguanide

Ah Mew N, McCarter R, Daikhin Y, Nissim I, Yudkoff M, Tuchman M

Secondly, we did not have access to hepatic tissues in subjects, and cannot definitely rule out that there may be some dietary influence on flavin monooxygenasedependent conversion of TMA to TMAO