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As a spore-forming organism, it is shelf-stable without refrigeration and is designed to survive gastric acid, activating in the intestines where it produces butyrate

Semaglutide has no comparable buffer, so its appetite and gastrointestinal effects rise through the same GLP-1 exposure

doi:10.1371/journal.pone.0135268

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You take medications like Metformin or PPIs for acid reflux

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