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Staying well-hydrated and avoiding trigger foods (fried foods, high-fat dairy, caffeine on an empty stomach) reduces the compounding effect of bile malabsorption plus GLP-1 slowed gastric motility

Sun Z, Tang Z, Yang X, Liu QS, Liang Y, Fiedler H, et al

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The confirmed harms were a small increase in liver enzymes, a roughly 1% incidence of muscle symptoms, and a modest rise in blood sugar in patients already near the diabetes threshold