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Most people experience sulfur burps for 3-8 weeks as their gut microbiota adjusts to slower gastric motility

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Frake says

It can modulate sleep and wake functions

Your care team reviews your labs, symptoms, and treatment response, provides coaching to improve outcomes, and offers guidance you can share with your prescribing clinician regarding dosing, tolerance, and long-term strategy

While this effect may begin soon after starting, the degree of suppression can vary depending on the individual