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Beano or similar alpha-galactosidase enzyme products help break down complex carbohydrates before fermentation occurs, especially useful if you reintroduce higher-fiber foods

underdosing when patients do not get enough of the active ingredient for a therapeutic benefit, like stable blood sugar

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The etiology is not clear and it may represent a physiologic or reactive process

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Consider whether the keto approach is sustainable for you long-term, because sustainability is what determines whether this exit strategy works at the 12-month mark