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10.1111/j.1476-5381.2011.01561.x 101 PeterliR.SteinertR

Common side effects include flatulence and loose stools from gastrointestinal processing

Approximately 15-40% of individuals diagnosed with IBD and an additional 20-40% are estimated to be obese and overweight respectively (13)

A meta-analysis of data from 29 randomized controlled trials with a combined total of 2,509 participants with fibromyalgia found CBT was more effective than no treatment for improving pain, quality of life, negative mood, disability, and fatigue

It can complicate fueling, impair recovery, and increase the risk of RED-S, injury, and GI distress