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Psyllium without adequate fluid can form a dense mass that worsens constipation or, in rare cases, causes esophageal obstruction

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However, since oral GLP-1s regulate blood sugar levels, this can effectively improve insulin sensitivity

A prescriber can check B12, iron, vitamin D, and other levels so you only add what you need

Additionally, many made changes to their lifestyle while taking the medication: 66% started eating more healthy foods, 45% exercised more, 24% improved their sleep, and 20% improved their stress management

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