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The FDA on Friday revealed a green list import alert for GLP-1 ingredients in an effort to slow the use of illegal active pharmaceutical ingredients in compounded versions of the weight loss drugs

This is primarily due to Gabapentins ability to stimulate the appetite, cause fluid retention and fatigue

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For bloating and distension, a large meta-analysis of 82 trials found combination probiotics and Bacillus strains showed benefit, though the authors rated the overall certainty of evidence as low, so this is best framed as "some evidence," not a guarantee