Unfortunately, small amounts of gluten can still cause ongoing symptoms and increase risk of comorbidities and complications, hence why a strict gluten free diet is recommended for individuals diagnosed with coeliac
A tricky thing with semaglutide is that GI symptoms (such as nausea, vomiting, and diarrhea) are the most common side effectsand each one can dehydrate you, indirectly contributing to fatigue
Eksperimental'naia i klinicheskaia farmakologiia, 79(9), 311
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Zhao G, Monier-Faugere MC, Langub MC, Geng Z, Nakayama T, Pike JW, Chernausek SD, Rosen CJ, Donahue LR, Malluche HH, Fagin JA, Clemens TL
Lalezar and team!!!