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I dont think of this as a performance-enhancing drug in the same way as EPO or an anabolic steroid, McGuire says

Hector Perez, a board-certified bariatric surgeon, believes the interest in these probiotics could also be "an aftereffect of the success of GLP-1 drugs, which have now brought public focus on gut microbiome and weight loss." He notes that more people are beginning to connect that metabolism goes beyond calories and may be shaped by gut health

Be mindful of how these side effects may affect patient compliance and adjust treatment plans accordingly

Semaglutide (Ozempic, Wegovy): approved, large trials

95% CI 0.730.8) [34]