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Hypothyroidism or Low T3 syndrome Insulin resistance, Diabetes mellitus [9] , or nerve damage from high blood sugar levels Celiac disease [10] or gluten intolerance Getting older [11] Changes in stomach acid (as seen with proton pump inhibitors or hypothyroidism [12] ) Vagal nerve damage [13] (trauma, etc.) Autonomic nerve dysfunction Basically, anything that may cause nerve issues, slow the GI tract, or lead to gut bacteria changes may predispose you to develop SIBO

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25 In terms of weight loss, the FDA has approved the use of semaglutide 2.4 mg and liraglutide 3.0 mg for weight management in patients with overweight or obesity

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[9] [2] This mechanism, whilst highly effective for glycaemic control, directly impacts gastrointestinal function