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This gas can be released as an unpleasant-smelling burp

32 HaoY.WangY.XiL.LiG.ZhaoF.QiY.et al (2016)

Diet and Hydration: Patients often adopt healthier diets and increase water intake when starting weight management treatments, which naturally leads to more frequent urination

Additionally, GIP is a hormone released in response to food that helps regulate blood sugar levels and helps our fat cells absorb more excess energy, preventing fat from being stored in the liver or pancreas

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If you skip days, take it at different times, or split your dose, its like turning the volume of your medication up and down