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Here is where it gets dangerous

In other words, once obesity has set in for a long time, these mechanisms make it very difficult to return to a lower weight

(nice.org.uk) For women with a hormonal pattern, AAD notes that spironolactone can effectively treat acne on the face, chest, and back

Practical strategies that work: Keep a 32-ounce water bottle visible at all times Drink 16 ounces first thing in the morning before eating Set phone reminders every 2 hours to drink Add lemon, cucumber, or mint to water if plain water becomes unappealing Count herbal tea and broth toward your daily fluid goal Avoid drinking 30 minutes before meals and 30-60 minutes after to prevent worsening fullness Signs of dehydration to watch for: dark urine, headaches, dizziness, dry mouth, constipation worsening, and fatigue beyond what the medication normally causes