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I had similar issue after taking omeprazole for too long, You need decent stomach acid to break down food properly to get nutrients and minerals out and into your system

Genetics and other individual factors are likely involved

Advocacy for broader coverage continues, especially as more evidence supports obesity treatment as preventive care

The Philadelphia-based insurance group, which operates in 32 states and Washington D.C., also saw less profitability in its Medicaid and Medicare programs as the cost of care outpaced rate increases last year

On ITT, weight loss was 20% and 24% at the 9mg and 12mg doses

Pharmacokinetics (ADME) Absorption Well absorbed orally Rapid onset Distribution Highly protein bound (~99%) Metabolism Mainly hepatic metabolism Glucuronidation is significant Half-life About 23 hours But effect lasts longer due to enzyme inhibition Excretion Mainly via bile/feces Some renal excretion --- 5