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Starting an available medication now probably makes more sense if: Your BMI is 30 (or 27 with complications like diabetes, sleep apnea, or joint pain) and your health would benefit from treatment today not in 2027

The main limitations are GI side effects: nausea, constipation, and slowed gastric emptying

Certain bacteria produce short-chain fatty acids like butyrate that help manage inflammation, regulate insulin sensitivity, and support fat metabolism

three bottles every three months comes down to $67.33

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