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When food sits longer in your stomach, bacteria in your colon break down undigested carbohydrates and proteins through fermentation
Recommended antihistamine options: Cetirizine (Zyrtec): 10mg once daily, non-drowsy, fast-acting (within 1 hour), most effective for injection site itch Loratadine (Claritin): 10mg once daily, non-drowsy, good for mild reactions Fexofenadine (Allegra): 180mg once daily, non-drowsy, least sedating option Diphenhydramine (Benadryl): 25 to 50mg every 6 hours, causes drowsiness but strongest anti-itch effect, best for severe reactions or nighttime use Strategic timing approach: Take a non-drowsy antihistamine 1 hour before your scheduled injection
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Exclusion criteria were a history of bariatric surgery, alcohol use disorder identification test (AUDIT) greater than 16, hemoglobin A1c measurement greater than 9, a history of seizure disorder or traumatic brain injury, on specific medications that interfere with alcohol metabolism such as certain antibiotics (reviewed on a case-by-case basis by study physician), or currently pregnant or lactating
