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Creatine supplementation is showing promise in this area
At the cellular level, GLP-1 receptor activation appears to reduce the production of pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-), interleukin-6 (IL-6), and interleukin-1 beta (IL-1)
The most beneficial fermented foods for semaglutide users include plain yogurt with live active cultures (check the label for specific strains), kefir (contains a broader range of organisms than yogurt), sauerkraut and kimchi (provide Lactobacillus species plus fiber), and miso soup (gentle on the stomach and provides glutamate that supports gut lining repair)
Look for companies with a strong reputation, like Weight Watchers, which has been around since 1963