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Where mood changes did appear, it attributes them frequently to secondary factors rather than the drug itself: rapid weight loss triggering metabolic or hormonal shifts, improved metabolic control altering neurotransmitter function, or underlying disordered eating patterns surfacing once appetite suppression begins
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[30] Among other things, gut dysbiosis can cause intestinal permeability , a condition where toxic byproducts of cellular metabolism called lipopolysaccharides leak out of the gut and into the bloodstream, causing metabolic endotoxemia and chronic, systemic inflammation
Symptom monitoring: Fatigue, numbness or cognitive problems should improve with treatment
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Administration of Lactobacillus paracasei strains improves immunomodulation and changes the composition of gut microbiota leading to improvement of colitis in mice
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