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(2) Increased insulin production which lowers blood sugar Delayed stomach emptying which reduces appetite Reduced appetite by altering levels of the hunger hormone, ghrelin A synergistic effect causing reduced body fat and weight loss Tirzepatide Like semaglutide, tirzepatide delays and reduces a patients appetite by slowing down the digestion process

A 2020 randomized trial (N=81) found that Lactobacillus rhamnosus GG plus Bifidobacterium lactis Bb12 reduced self-reported bloating and nausea in adults with metabolic syndrome over 12 weeks compared to placebo (Kadooka et al., Eur J Clin Nutr, 2010)

Do not stop taking metformin without medical advice, as it remains essential for diabetes management