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The billing concerns are worth noting and tracking as they scale up, although I also know that Trustpilot can be gamed by flooding the site with positive reviews

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Patients with existing NAFLD who require corticosteroid therapy for other medical conditions (such as autoimmune hepatitis or severe inflammatory disease) need careful monitoring, including regular checks of weight, blood pressure, blood glucose or HbA1c, lipids, and liver function tests

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effective contraception should be used during treatment, and preconception planning is advised Hypoglycaemia risk : Patients also taking insulin or sulfonylureas may have an increased risk of low blood glucose and may need dose adjustments of these medications Patients taking both weight loss injections and statins should be aware that the gastrointestinal side effects of GLP-1 receptor agonists are unrelated to statin therapy and do not indicate an interaction

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