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The mechanism behind this is that they can affect neurotransmitter levels in the brain, such as serotonin and norepinephrine

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5 It acts in the GI tract by 5 : Decreasing the surface tension of dispersed gas Causing smaller gas dispersions to coalesce into larger ones Facilitating the accumulation of gas so it can be more easily eliminated Dispersion of the gas allows it to pass through the opening of the upper or lower GI tract

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Bottom line: Two or more missed weeks usually means restarting at a lower dose to avoid GI side effects FAQ Can I Switch My Injection Day If I Keep Forgetting