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Additionally, high heterogeneity among studies was observed, reflecting the variability in study designs, populations, and assessment tools
When meals are larger, higher in fat, or heavier , that slower movement can feel uncomfortable, causing bloating or unpleasant burping even though digestion continues normally. This mechanism also explains why digestive enzymes are often tried for sulfur burps
[3],[4] In addition, the traditional role of metformin in the early management of T2D is not always appropriate if not tolerated or contraindicated (eg, eGFR 20-25 mL/min/1.73 m 2
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