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Most common long-term side effects are gastrointestinal: nausea, vomiting, diarrhea, and constipation

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It is proposed that Ex-4 acts to counteract potassium outflow, thereby delaying repolarization and increasing Ca 2 influx, which in turn enhances insulin secretion [27]

They could work well for someone with a reduced appetite, like a person taking GLP-1 medication, but for others, they might leave you hungry
