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Several factors may contribute to this paradoxical response, including compensatory eating patterns, reduced physical activity due to gastrointestinal side effects, concurrent medications, and individual metabolic variation

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For someone with arthritis or another back-related condition, this effect could contribute to additional pain in the spine or supporting structures

The slower speed, which causes the stomach to empty more gradually, and generally eating less food can possibly give less beneficial gas-causing bacteria too much time to grow, adds nutritionist and author of The Small Change Diet , Keri Gans, RDN