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The standard clinical markers: Fewer than three bowel movements per week Hard or lumpy stools that are difficult to pass Bloating, abdominal tightness, or mild cramping Feeling like you didn't fully empty out If that's you on a GLP-1, your gut is adjusting to a medication that fundamentally changed its rhythm

Food sits in your stomach longer, ferments, and produces foul-smelling gas that escapes through your breath

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