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In this regard, in healthy subjects, having a mixed meal, a combination of protein, carbohydrates, and fat, followed by a higher energy expenditure, prolonged the rate of gastric emptying and resulted in lower glycemia compared with a meal of carbohydrates alone [14]

This leads to slow or stopped gastric emptying

Low levels of this hormone can lead to irregular menstrual cycles, mood swings, and to trouble sleeping and maintaining pregnancies

Taking your oral dose first thing in the morning before breakfast, then waiting 30+ minutes to eat, maximizes absorption and ensures you're not interfering with medication effectiveness