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We performed cardiopulmonary exercise testing to rule out respiratory and cardiovascular causes of fatigue

Less HCl breakdown of food = more food for bacteria to eat, enabling them to dominate, and it leads to SIBO

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For example, a retrospective cohort study reported that adults receiving semaglutide (Wegovy/Ozempic, Novo Nordisk) as a type 2 diabetes or obesity medication had lower risk for suicidal ideation than those using a drug that is not a GLP-1 receptor agonist