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Red flag symptoms requiring urgent assessment include: Severe abdominal pain or distension that is progressive or unrelieved Nausea and vomiting, particularly if unable to tolerate oral intake Inability to pass gas or persistent vomiting (possible signs of obstruction) Rectal bleeding or black, tarry stools suggesting gastrointestinal bleeding Unintentional weight loss beyond expected therapeutic effects Fever accompanying constipation, which may indicate infection or inflammation Signs of dehydration (extreme thirst, dry mouth, dizziness, dark urine) Patients with pre-existing gastrointestinal conditionsincluding inflammatory bowel disease, previous bowel obstruction, or diverticular diseaseshould have lower thresholds for seeking medical advice

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Peptides for weight loss split into two very different categories: FDA-approved prescription GLP-1 drugs (semaglutide, tirzepatide, liraglutide) and non-prescription or compounded options (BPC-157, CJC-1295, AOD-9604, and similar peptides)

Liver and metabolic concerns Berberine can interfere with liver enzymes (CYP450 pathways), which help process many medications including semaglutide

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