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Research has shown that GLP-1 medications can influence menstrual patterns

The answer to my surprise: fish oil

Research suggests benefits for inflammatory bowel conditions, gastric ulcers, esophageal damage, and gut lining integrity

The main practical disadvantages are: poor absorption in standard capsule form, the need for consistent daily use over 8-12+ weeks before visible results, relatively higher cost for well-absorbed formats, mild and uncommon side effects like digestive discomfort or headache in some users, and the risk of unrealistic expectations from aggressive marketing claims

Patients come in for B12 injections on an as needed individualized schedule