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Patients should be instructed to seek immediate medical care if they experience severe, persistent abdominal pain that may radiate to the back

Intermittent fasting or time-restricted eating (e.g., 16:8 protocol) can reset hunger signals and insulin sensitivity after months of stable dosing

If you jumped straight to a therapeutic dose like 10 mg or 15 mg, the likelihood of significant nausea, vomiting, and other GI side effects would be much higher

However, the post-purchase experience, particularly around billing, cancellation, and customer service, is where the overwhelming majority of complaints originate