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When semaglutide slows transit and you continue eating the same diet, the bacteria have more time to work on their preferred substrates

Positional techniques: Sit upright for 1-2 hours after eating (lying down worsens reflux and nausea) Sleep with upper body elevated 30 degrees (extra pillows or wedge pillow) Avoid bending over or tight waistbands (increases gastric pressure) Gentle walking after meals (helps gastric emptying without jarring movement) Breathing techniques: Slow, deep breathing through nose

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Whether this approach may be suited to counteract these disabilities in multiple sclerosis patients, remains to be further determined