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doi: 10.1007/s12020-024-03998-8

Pendulum's Akkermansia is newer, so long-term data is still accumulating

Patients with major abdominal surgery, connective tissue disorders, gastroparesis, or other high-risk conditions for SIBO were excluded

We comprehensively included randomised clinical trials, observational human studies, animal models, and in vitro studies that assessed the effects of GLP-1 receptor agonist exposure on reproductive, ovarian, hormonal, or fertility-related outcomes

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I tried cocoa butter and massage for two months, but there was no improvement