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Postprandial glucose, GLP1, and insulin have been found to be even higher in patients susceptible to PBH (75)

But they tend to be mild. Orlistat has some unique (and unpleasant) side effects, like gas, oily or loose stools, and oily spotting (since your body has to get rid of the excess fat that it's not absorbing)
[DOI] [PMC free article] [PubMed] [Google Scholar] 51.Williams JC, Hum RM, Rogers K, Maglio C, Alam U, Zhao SS

Trying a GLP-1 was not about wanting an easy way out

On other episodes that we've done, there's far less of a value judgment
