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You cannot actually consume Akkermansia from fermented foods like kefir or kimchi because it thrives in a low oxygen enviroment

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75% of patients who initiate a diabetes-indicated GLP-1 have filled metformin or another diabetes treatment prior to initiation, while the majority of weight-loss indicated GLP-1 initiators have had no prior fills of any diabetes products

The effect of semaglutide on blood pressure in patients without diabetes: a systematic review and meta-analysis

Blood flow matters most

To discover what foods or eating habits trigger GLP-1 nausea, you can keep a food log where you document what you eat, when and how much you eat, and how you feel after