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1 Cholelithiasis will affect about 2% of patients per year

Deborah Horn, D.O., medical director at the UT Center of Obesity Medicine and Metabolic Performance, and a clinical associate professor of surgery at The University of Texas Medical School at Houston

This precision approach transforms side effect management from guesswork into evidence-based personalization, helping you feel better faster during your weight loss journey

We walk through all of this during a consultation, based on your numbers and your goals, without pushing toward any particular path

If you take acid reducers (like PPIs or H2 blockers), probiotics may survive differently: consistency matters more than "perfect timing." Separate probiotics from antibiotics by a few hours when possible (and continue the probiotic for a short period after finishing antibiotics, if your clinician agrees)

a large bolus sitting in a delayed stomach can trigger a rapid "dumping" response when it finally moves into the small intestine, resulting in cramping and diarrhea