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The researchers further reported that common GLP-1 gastrointestinal side effects, such as nausea and vomiting, were mostly mild to moderate and temporary

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A striking example is a 2024 case report involving a 47-year-old commercial airline pilot who developed acute brain fog manifesting as somnolence, impaired concentration, and mental fatigue alongside worsened abdominal distress shortly after initiating an over-the-counter probiotic supplement containing 16 strains

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Weeks 17 to 20 (12.5 mg): Approaching the final dose escalation

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Together, these issues create clinical and regulatory challenges that extend beyond paperwork to potential patient safety implications

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