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They also allowed me to come in immediately even letting my dog come in with me so I could get in sooner and he wouldnt be out in the truck in the heat

Many patients struggle with appetite, cravings, insulin resistance, slow metabolism, hormonal changes, stress, poor sleep, and medical conditions that make weight loss more difficult

Clinical tip: dose increases at Day 16

One thing that often catches people off guard is the digestive side effects: bloating that seems to come out of nowhere, constipation that lingers, sulfur burps, and stomach discomfort that can make meals feel like a chore

Plan for long-term treatment or have a comprehensive maintenance strategy in place before stopping

It tends to be a pretty weight-neutral antidepressant with no significant weight gain or loss as a side effect