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The Cleveland Clinic notes that tolerance is individual, and some high-fiber or gas-producing foods can worsen GI symptoms on GLP-1s, especially during dose escalation, including foods like beans, cruciferous vegetables, and certain starchy produce

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a small gastric pouch is formed and the jejunum is connected directly to the small pouch) used to be the most widely performed bariatric surgeries but its utilization has been reduced to about 20% of the procedures in the last couple of years (40)

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The aim is mindful, sustainable support, not maximum intensity