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A patient satisfies the diagnostic criteria for FMS if the following 3 conditions are met: Although the precise mechanisms contributing to the pathophysiology of FMS remain to be fully elucidated, it is thought that patients with fibromyalgia have impaired endogenous analgesic systems, in particular suboptimally functioning descending inhibitory pathways, which normally function to ameliorate pain as well as abnormal pain processing

The post says semaglutide already slows stomach emptying and promotes early satiety by design, so the digestive tract is operating differently from baseline before an antibiotic is added

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