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However, a variety of other risk factors have also been implicated in the development of malnutrition in people with obesity including defective storage and bioavailability of nutrients, small intestine bacterial overgrowth, low grade chronic inflammation (leading to oxidative stress and increased anti-oxidant utilization), older age and excessive consumption of simple sugars, milk and fat

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A paradigm of integrative physiology: the crosstalk between bone and energy metabolism

If you have these symptoms while on GLP-1 and keto, seek medical attention promptly and request ketone testing