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You may need more evaluation if You have severe GERD, Barretts esophagus, inflammatory bowel disease, anemia, prior abdominal surgery, chronic steroid or NSAID use, or complex medical conditions

The 2 nd group was given 2 grams of Propionyl-L-Carnitine plus 2 grams of Acetyl L Carnitine hcl per day

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When GLP-1 medications slow gastrointestinal transit, fermentable carbohydrates remain exposed to gut microbes longer, increasing gas and bloating in susceptible individuals