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This leads to vascular congestion, which causes engorgement and edema

Both influence insulin sensitivity and glucose regulation, which may increase hypoglycemia risk

Everything in Protocol 1, plus: Probiotic: 10-30 billion CFUs daily (multi-strain with Lactobacillus and Bifidobacterium) Ginger extract: 250 mg four times daily (or 1-2 grams raw ginger) Vitamin B6: 10-25 mg daily for nausea Electrolytes: Sodium, potassium, and magnesium if experiencing dizziness or dehydration Expected benefits: Reduced nausea, more regular bowel movements, less bloating, better tolerance of the medication especially during the early side effect period

Somatostatin analogs and glucose metabolism in acromegaly: A meta-analysis of prospective interventional studies