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Not everyone needs a test first, but it can be helpful, especially if you have chronic fatigue, numbness, or dietary restrictions

In terms of GI effects, it can cause gas, (sometimes with discharge), urgent or increased bowel movements, oily or fatty stools, loose stools, discolored stool, nausea, vomiting, diarrhea, and rectal and stomach pain

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If you extrapolate the AOD 9604 rate linearly (which is generous, given that the OPTIONS study showed diminishing returns over time), you might expect roughly 8 to 10 kilograms over 18 months