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Research shows sudden fiber increases from 15g to 35g daily correlates with a 75% rise in abdominal distension during GLP-1 treatment

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However, researchers should be aware that gastric emptying is most significantly slowed in the 24 to 48 hours following tirzepatide injection, which is when berberine absorption may be most variable

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doi: 10.1073/pnas.0801059105

He teaches neuroanatomy to Stanford medical students
