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I have watched what works and what fails

Some small studies and case reports show specific probiotics or brief antibiotic courses reduce TMA and the odor in some people

The mechanism of action involves several key processes: Stimulating insulin secretion from pancreatic beta cells in response to elevated blood glucose Suppressing glucagon release , which reduces glucose production by the liver Slowing gastric emptying , which helps control post-meal blood sugar spikes Reducing appetite through effects on brain centres that regulate hunger Ozempic is administered as a once-weekly subcutaneous injection and is available in pre-filled pens

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Histopathological evidence supports these proposed mechanisms