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But also be cautious with sugar alcohols (maltitol in particular can spike blood sugar and cause GI distress), excess fiber supplements that can worsen constipation if not taken with adequate water, and heavily processed keto products that may contain hidden carbs or ingredients that exacerbate GLP-1 side effects

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[DOI] [PMC free article] [PubMed] [Google Scholar] 199.Heitman E., Ingram D.K

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