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Carbonated beverages (soda, sparkling water, beer) cause gas expansion in your stomach, which feels uncomfortable when your stomach is already receiving stronger fullness signals

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The trial was conducted according to the Declaration of Helsinki (World Medical Association

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However, severe abdominal pain, bloody stools, persistent vomiting, or constipation lasting more than 23 weeks despite treatment warrants immediate medical evaluation

label notes these events were associated with weight reduction