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The two medications work through entirely different mechanisms phentermine through central stimulant pathways, GLP-1s through appetite and metabolic signaling which is precisely why combining them can restart progress when either alone has stalled

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Soluble fiber such as galacto-oligosaccharides and fructo-oligosaccharides (FOS), are fermented by the gut microbiota into short-chain fatty acids (SCFAs) acetate, propionate and butyrate (241)

It is also a key ingredient in iron formulas aimed at people with anemia, bleeding or severe fatigue