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Bastonini, E., Kovacs, D., Ottaviani, M., Dell'Anna, M

Finding your optimal timing often requires a trial period of a few weeks to identify what minimizes discomfort while supporting your weight loss goals

They result from slowed gastric emptying allowing bacterial fermentation in the stomach, and the change in gastric motility patterns during medication transitions can exacerbate them temporarily

Repeated minor strain is thought to be the major precipitating factor in tendinopathy, although further work is required to determine whether it is mechanical overstimulation or understimulation that leads to the change in tenocyte activity

This effect, called gastric emptying, can also delay how other medications are absorbed