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From a methodological standpoint, most analyses demonstrated moderate risk of bias with sound statistical adjustment (IPW, matching, multiple imputation) but limited causal inference due to observational design

This is powerful for weight loss but it also creates a few adjustment challenges: Eating becomes smaller and slower Hydration becomes more important Digestion can change Energy levels may fluctuate Protein intake becomes more important Many people also experience temporary symptoms such as: nausea fatigue mild digestive discomfort None of this means the medication isnt working

Intestinal fungi contribute to development of alcoholic liver disease

Yahfoufi et al., 2018)