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Success depends heavily on establishing non-medication-based habitsexercise consistency, protein intake, sleep quality, and stress managementbefore discontinuing therapy

This means that you have reduced hunger levels and cravings

Disruption of gut barrier integrity may facilitate the translocation of metabolites such as short-chain fatty acids (SCFAs), bile acids, tryptophan derivatives, and lipopolysaccharide (LPS), which can modulate BBB function and neuroinflammatory responses [122]

These triggers can include, but are not limited to, viral infections, dietary factors, and exposure to certain chemicals and environmental toxins

The most significant risk is hypoglycemia, especially for patients also taking insulin or sulfonylureas