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This depends on the research protocol

GLP-1 therapy's side effects are predominantly gastrointestinal (nausea, occasional vomiting, constipation), with secondary effects on heart rate and theoretical concerns about pancreatitis and gallbladder disease

This is the whole reason for the "hold in mouth for 30 seconds" instruction on the label.* What's Actually in the Bottle of the Designs for Health Liposomal The full ingredient list is short and purposeful: water, glycerine, natural flavours, phospholipids (from sunflower lecithin), potassium bicarbonate, a small amount of ethanol, rebaudioside A (a stevia leaf extract used for a touch of sweetness), and natural citrus and mint oils