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Slows gastric emptying so you feel full longer

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The official labeling lists nausea, vomiting, diarrhea, abdominal pain, and constipation among the most common adverse reactions

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And you can argue that maybe with now the generics becoming available as patents are expiring, that will change anyways

Persistent circulation of soluble and extracellular vesicle-linked Spike protein in individuals with postacute sequelae of COVID-19