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Conversely, expansion of opportunistic or inflammatory genera such as Enterobacteriaceae and Desulfovibrio under disrupted rhythms drives metabolic endotoxemia and hepatic oxidative stress

These include persistent dizziness, confusion, rapid heartbeat, decreased urination, extreme thirst, and dry mucous membranes

Known risks include temporary digestive issues like nausea or constipation

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Healthcare providers should develop individualized plans that may include transitioning to lifestyle modifications, nutritional counseling, and behavioral support to maintain weight loss