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These medications slow stomach emptying, increase feelings of fullness, and directly stimulate insulin secretion in response to meals
However, there are still questions around P9s mechanism, whether it's present in other bacterial species and whether it influences the secretion of other gut hormones, such as GLP-2 and peptide YY
Gradual reintroduction of soluble fiber (such as oats or psyllium) after initial symptom control supports long-term digestive health and may help prevent constipation, which can contribute to bloating
Combined, these effects can support healthy joints
Most practitioners recommend a minimum 12-week trial before making efficacy judgments
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