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What this means for overall gut health overall gut health Potential positives: Less glycemic volatility (fewer glucose-driven GI symptoms in some with diabetes) Reduced reflux triggers for some if weight loss decreases intra-abdominal pressure Improved MASLD/MASH biomarkers via weight loss and metabolic effects Lower overall intake may calm visceral hypersensitivity in some IBS-D cases Potential challenges: Delayed emptying early fullness, nausea, reflux, or vomiting if portions/fats are too high Constipation in those with slow motility or low fiber/fluid intake Gallstones with rapid loss Undernutrition may contribute to overall symptoms and inflammation impacting the gut Poor balance of meals due to low intake may negatively impact the gut microbiome Rare but serious pancreatitis or ileus requiring immediate care The bottom line is that these medications arent 100% good or 100% bad

Phentermine can be more effective at suppressing the initial urge to eat or food noise that persists throughout the day

22 This financial exclusion disproportionately impacts Black Americans, who are more likely to be uninsured or underinsured and face greater economic barriers to care