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Peer review Peer review information Nature thanks Dipender Gill, Ruth Loos and the other, anonymous, reviewer(s) for their contribution to the peer review of this work

Intolerable side effects (heart palpitations on phentermine, nausea on Saxenda, mood changes on Contrave) count

Continue Monthly Follow-Up Ongoing visits help monitor your progress and adjust your plan over time

Up to 70% of adults worldwide lose much of their natural lactase after childhood, which is why dairy can trigger gas, bloating, and diarrhea.11 Multiple randomized, double-blind trials have shown that taking lactase with dairy-containing meals significantly lowers hydrogen breath levels and improves symptoms, although relief depends on the dose and total lactose intake.2 42 Most experts still recommend pairing it with portion control or lower-lactose choices.11 People who get gas and bloating from beans, broccoli, or high-fiber meals If beans, lentils, or cruciferous vegetables are your main triggers, alpha-galactosidase is one of the few targeted options with solid support

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Persistent symptoms may require further investigation or adjustment of your treatment plan