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Furthermore, in rats fed a fructose-rich diet, Spirulina supplementation increased the abundance of Prevotellaceae and Lactobacillaceae and reduced the Firmicutes-to-Bacteroidetes ratio, thereby restoring gut microbial balance

Others experience fatigue, low mood or anxiety, which could relate to inadequate calorie intake, hormonal fluctuations from rapid weight loss, or direct medication effects

Acta Paediatrica Supplement .Read source (1988)

The review also notes a temporary worsening of diabetes-related retinopathy during rapid glycemic improvement, an increased aspiration risk from delayed gastric emptying, and the need to protect against nutritional deficiencies and loss of muscle or bone mass during rapid weight loss

Most users see optimal results at 4-6 months

While branded GLP-1s were in shortage, many compounding pharmacies offered lower-cost alternatives that proved to be very popular, with an estimated 2-4 million Americans prescribed a compounded GLP-1