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This effect has not been well established in humans, but as a precaution, those taking levothyroxine or other thyroid medicines should seek medical advice before use

Mir Ali, MD, a bariatric surgeon and medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center in California

Accessed April 2019

Clinical trials show diarrhea affects approximately 8-30% of patients depending on the formulation and dose, meaning most patients do not develop this side effect

You just may see your question answered in a future ETF Talk.

This adds a layer of concern, especially for those using it long-term