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J Cell Biochem 88(2):234237

J Emerg Med 2010;39:330336

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Interest has therefore emerged in adjunctive microbiome-targeted strategies, including probiotics, prebiotics, and postbiotics, as potential means to enhance GLP-1 RA efficacy or mitigate gastrointestinal adverse effects

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At 24 months, 17.8 kg reduction from baseline (99.5 kg to 81.7 kg), BMI reduced by 5.5 kg/m (from 36.5 to 31.0 kg/m), maintaining 20.6% 3.2% weight loss, though 95% attrition limits clinical interpretability