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Many victims claim they were unaware of the risk of stomach paralysis (also called gastroparesis) because it is not on the label for Ozempic or Mounjaro

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its cell-free supernatant improved hepatic lipid accumulation and inflammation in animal models by increasing -oxidation gene expression and inhibiting inflammatory responses, indicating it holds promise as a candidate for novel microbiome-based therapeutic strategies

doi: 10.1016/s0306-4522(03)00327-0

The first may be associated with alteration of nail plate anatomy in more advanced cases