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The altered intestinal pathway after bypass can amplify GLP-1 effects because the medication directly stimulates remaining digestive tissue at higher local concentrations

It is important to note that the FDA-approved clinical trials for semaglutide and tirzepatide studied the injectable formulations

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They can help figure out if high estrogen is the cause and suggest ways to help you feel better

These causes are distinct from direct medication side effects and often resolve with hydration, skincare adjustments, and time

I'll put all that in the show notes cause I think that will help some of you get started