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However, the authors noted persistent concerns about global regulatory harmonisation and clinical translatability of NAMs (Shenton et al., 2025, DOI)
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It suggests there is another mechanism involved beyond weight loss acting on the cardiovascular system, he says
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Ehtesham Ghani, an Internal Medicine and Bariatric Medicine physician and a member of the American Society of Bariatric Physicians

Side effects of GLP-1 probiotics are primarily gastrointestinal and typically mild, resembling those of conventional probiotic supplements

Keeping a food diary helps identify problematic foods
