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Lembke is referring to a 2022 study in Denmark that examined how people with alcohol use disorder respond to a GLP-1 medication versus a sugar pill while also receiving cognitive behavioral therapy
Care is personalized and includes medical guidance, follow-up visits, and support for nutrition, lifestyle, and underlying contributors such as sleep, mental health, stress, and gut health.
Commonly reported side effects include: Nausea, vomiting, or stomach cramps Diarrhoea or loose stools A distinctive 'fishy' body odour, caused by the production of trimethylamine a metabolic by-product of carnitine breakdown in the gut These gastrointestinal effects are more likely at higher doses, particularly above 3,000 mg per day, and are consistent with adverse effects described in the levocarnitine SmPC
Supporting this, a study by Krebs (189) demonstrated that Lactobacillus probiotics induced substantial shifts in the gut microbiota of colorectal cancer patients, leading to improved mucosal structure correlated with enhanced colonization by Lactobacillus species
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