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exendin-4 were small

The most common side effects of semaglutide injections are nausea, vomiting, diarrhea, stomach pain, and constipation

PMID: 36629465

This does not mean GLP-3 is automatically better for every patient

Probiotics are hypothesized to benefit patients with HE through reduction of harmful, ammonia-producing bacteria, and decreasing ammonia absorption in the gut by affecting different aspects of the gastrointestinal environment (including enzymatic composition, epithelial permeability, acidic environment and nutritional status of the gut)