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[1] [7] When used with insulin or sulfonylureas, dose adjustments may be needed to prevent hypoglycemia

10.3389/fpubh.2023.1282051 143 ZaarourR

While they do slow digestion to keep you fuller for longer, they also suppress the hunger hormone ghrelin, reduce reward-based eating signals in the brain, and improve insulin sensitivity to prevent blood sugar crashes that trigger cravings

Nutrition Appetite suppression can become counterproductive when a patient consumes too little protein, fluid, fiber, or total nutrition