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It allows the clinic to capture the patient early in their weight-loss journey, treat the immediate symptom (laxity), and retain them within the practice ecosystem until they are potentially ready for surgery or further maintenance

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10.3390/antiox13101246 50 MaH.HuangW.WangX.ZhaoL.JiangY.LiuF.et al (2020)

To that end, Pendulum claims to use an acid-resistant capsule

Additional cautions include active or history of pancreatitis, severe gastroparesis, and severe GI dysmotility

If you have kidney disease, consult your healthcare provider about appropriate protein intake