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Hypothyroidism or low thyroid function can lead to fatigue, difficulty losing weight, and water retention

Completely shutting off stomach acid can lead you straight into the "PPI Trap," causing food to ferment in a slow gut and worsening sulfur burps

When Ozempic is added to existing metformin and/or thiazolidinedione therapy, the current dose of metformin and/or thiazolidinedione can be continued unchanged

Funding Statement The APC was funded by Indena, Milan, Italy through an unrestricted grant that had any influence on the research

If you want an oral, research backed multi ingredient option consider Tonum's Motus which in human clinical trials reported larger average weight loss than single ingredient berberine trials

PMID: 16352683.