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Both medications help control appetite and blood sugar levels, but they serve different purposes
Introducing highly fermentable prebiotics into a gut that is currently overgrown with pathogenic or histamine-producing bacteria can trigger a "flare-up." The harmful bacteria will rapidly ferment the new fiber, producing excess gas, LPS, and histamine, which can temporarily worsen leaky gut and provoke a severe mast cell reaction
Treatment decisions are always made collaboratively
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