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96.90% 5.02%, n = 6

Phentermine 7.5 mg/topiramate 46 mg was second best for a 5% or greater weight reduction (SUCRA = 0.8964) and third best for achieving a 10% or greater weight loss (SUCRA = 0.867), whereas tirzepatide 15 mg ranked third for achieving a 5% or greater weight loss (SUCRA = 0.7386) and second for a 10% or higher weight reduction (SUCRA = 0.867)

& de la Guardia, M

Upon reaching the gut, P.g exhibits a pronounced tropism for the intestinal mucosa, demonstrating a higher adhesive capacity to intestinal epithelial cells compared to other oral bacteria like Prevotella intermedia , an action primarily mediated by its gingipain proteases (Motosugi et al., 2025)

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That said, you may need to exercise caution before surgery if you fall under specific criteria