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A striking example is a 2024 case report involving a 47-year-old commercial airline pilot who developed acute brain fog manifesting as somnolence, impaired concentration, and mental fatigue alongside worsened abdominal distress shortly after initiating an over-the-counter probiotic supplement containing 16 strains

This is crucial for absorption
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SURPASS-3 evaluated tirzepatide versus insulin degludec in patients with inadequate glycemic control despite multiple oral medications

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