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Together, these conditions create a compounding risk of nutritional deficiency that demands close monitoring, strict gluten-free dietary adherence, and coordinated care between bariatric surgery, gastroenterology, and dietetic teams

A common pattern involves using higher doses (2mg daily) during the first cycle, then transitioning to maintenance doses (1mg 2-3x weekly) for subsequent cycles

Participants external eating scores showed a sustained decrease

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I am currently on my third week and most of the hyperpigmentation caused by the sun damage on my hands are gone