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Once-weekly semaglutide in people with HIV-associated lipohypertrophy: a randomised, double-blind, placebo-controlled phase 2b single-centre clinical trial - The Lancet Diabetes & Endocrinology
Your compromised gastric emptying can't handle large food volumes, virtually guaranteeing extended fermentation and increased gas
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Higher doses amplify GLP-1 receptor activity in areas of the brain, like the Area Postrema, which is responsible for triggering nausea