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Hi Sara, Best to try elimination of gluten, dairy and sugar for 30 days and find a functional medicine doctor who can do appropriate lab testing such as stool testing and breath test for SIBO to figure out what the root cause of your symptoms is

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More serious risks include pancreatitis, gallbladder disease (cholelithiasis, cholecystitis), diabetic retinopathy complications (particularly with rapid improvement in glucose control), and acute kidney injury due to dehydration from gastrointestinal side effects

Caroline Apovian Co-Director, Center for Weight Management and Wellness, Brigham and Womens Hospital and Professor of Medicine, Harvard Medical School "The second generation of Anti-Obesity agents (AOMs) are finally giving hope to many people afflicted with obesity that treatment is effective and most importantly safe for chronic use

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