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However, gastrointestinal side effects, such as nausea and vomiting, often challenge long-term adherence

Chronic stress drives cortisol elevation, which promotes abdominal fat storage and increases appetite for high-calorie foods

However, if the dose is too high, it may lead to under-eating, leading to nutritional deficiencies and hyperglycemia

The Congressional Response: Hearings Without Consequences Congress has held at least a dozen hearings on PBM practices since 2018
