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The oligosaccharides might be indigestible for the infant but they play an essential role controlling the microbes that settle into the colon after birth

Here's what they found at 64 weeks: Average weight loss of 16.6% with full adherence (vs 2.7% with placebo) 13.6% average loss even for people who didnt stick to the full dose 79.2% of participants on the pill lost at least 5% of body weight 63% lost at least 10% 30% lost 20% or more Serious adverse events were less frequent in the semaglutide group (3.9%) than placebo (8.8%) Just to put the numbers into context, 16% for a 100 kg man is 16 kg

The mechanism is well characterized

Metagenomic analyses by Junjie Qin et al

Yes, but is it better for chins

Constipation and diarrhea