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The article attributes it to slowed gastric emptying, meaning food moves from the stomach into the small intestine more slowly, which reduces appetite but can cause cramping and bloating as motility changes

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Physiol Behav 112113 , 6169, (2013)

Diabetes Care 36 , 30703075 (2013)

Resistance when drawing or injecting If the solution seems thicker than usual, requires more pressure to draw into the syringe, or feels different during injection, aggregation may have increased the viscosity