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Their reasoning includes the potentially significant systemic side effects of stopping semaglutide and the lack of evidence for a causative link between GLP-1 RAs and NAION

If you gradually increase your dietary fiber intake before starting Pendulum, you can pre-adapt your gut to fermentable fibers and potentially reduce the severity of side effects when you begin the supplement

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Tell your doctor if you ever had Levers disease or other form of optic nerve damage