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In response, cervical stretching stimulates additional oxytocin to be synthesized by the hypothalamus and released from the pituitary
There is difficulty in separating the effect of the drug from the effect of the illness (like fever or inflammation)
Additionally, spacing meals at least 34 hours apart allows your stomach to process one meal before introducing another, reducing the likelihood of fermentation and associated gas production
Published trials are sparse, but a 2023 observational study reported modest additional weight loss (35 lbs over 12 weeks) with combination therapy versus single-agent, though nausea and dizziness occurred in 34% of patients
The decision to discontinue should weigh the cardiovascular and metabolic benefits against the burden of symptoms through shared decision-making between patient and clinician
