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Victims typically describe this phenomenon as feeling crampy. Gastrointestinal Symptoms Persistent nausea Vomiting undigested food Severe bloating Abdominal discomfort or pressure Feeling full immediately after eating Loss of appetite Acid reflux or indigestion Nutritional Symptoms Rapid or unintended weight loss Difficulty tolerating food or liquids Malnutrition Fatigue Severe Symptoms Dehydration Electrolyte imbalance Gastric bezoars (masses of undigested food) Hospitalizations Severe malnutrition and over the top weight loss

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Clinical Efficacy While generics must demonstrate bioequivalence to their branded counterparts, its essential to acknowledge that they may not always deliver the same clinical benefits

Diabetol Metab Syndr 11:62 Tanaka A, Shimabukuro M, Okada Y, Taguchi I, Yamaoka-Tojo M, Tomiyama H, Teragawa H, Sugiyama S, Yoshida H, Sato Y, Kawaguchi A, Ikehara Y, Machii N, Maruhashi T, Shima KR, Takamura T, Matsuzawa Y, Kimura K, Sakuma M, Oyama JI, Inoue T, Higashi Y, Ueda S, Node K (2017) EMBLEM Trial Investigators

Effects of ingestion of triglyceride or galactose on secretion of gastric inhibitory polypeptide and on responses to intravenous glucose in normal and diabetic subjects