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Beyond constipation, insufficient fluid can cause a host of other digestive tract problems, including bloating, gut discomfort, poor nutrient absorption, an unhealthy balance of bacteria in the gut microbiome, and reduced saliva production

Adaptation to the medications, requiring higher and higher doses to maintain the same satiety effects Individual biologic differences, leading to different effects of GLP medications than the norm

That makes it impossible to determine whether the medications themselves are driving the improvements or whether those changes are happening because of downstream effects, such as weight loss, better blood sugar control, or changes in daily life

The goal isnt to get off medication as quickly as possible
