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Martindale: the complete drug reference, 34th ed
Mega-dosing any vitamin is strongly discouraged
Gastric emptying may be delayed, requiring caution for procedures involving sedation or general anesthesia due to aspiration risk Use caution in those with a history of diabetic retinopathy 5 Avoid use during pregnancy and breastfeeding 6 Enhances glucose-dependent insulin secretion Suppresses glucagon secretion Supports weight loss Slows gastric emptying Improves insulin sensitivity 1,2 Influences brain regions involved in appetite regulation, leading to reduced hunger and caloric intake Helps to decrease internal inflammation 1 Q: How long does it take to see results
So yes, symptoms can get worse before they get better
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