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The way it works is by helping to control your blood sugar levels, slowing down how quickly your stomach empties, and also reducing how hungry you feel

2012) characterised this as still a genuinely controversial issue, acknowledging both the relative rarity of serious adverse events in monitored clinical populations and the legitimate uncertainty about unconstrained off-label long-term use

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And because there is no single test for CFS, many people suffer for years without a proper diagnosis