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Skin changes: Acanthosis nigricans (dark, velvety skin patches often found on the neck and armpits) may fade as insulin levels decrease

If youre having unwanted side effects like nausea or vomiting, you may want to decrease fat consumption for a period of time to see if it helps your symptoms

They continue taking it to see if maintaining it has any beneficial effect

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Some of these risk factors can be treated naturally with natural remedies like exercise and acupuncture