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If theres not enough variety of fiber content in your diet, including fruits, veggies and whole grains, you could end up with constipation

There were TWO cleanses

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(5) Adverse effects and management: Cholinergic muscarinic effects such as diarrhea, abdominal cramping, and increased salivation are common and may be managed with agents such as propantheline or loperamide

The medication slows digestion, allowing food to sit in your stomach longer and ferment

Itching during GLP-1 therapy usually results from dehydration (reduced fluid intake due to nausea), rapid fat mobilization triggering inflammatory responses, or changes in diet and skin flora