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In patients with pre-existing cardiovascular disease, optimization of cardiac medications may help mitigate heart rate increases

Referral to a specialist NHS Tier 3 weight management service is appropriate for comprehensive assessment and access to multidisciplinary support

Limiting alcohol and caffeine intake may also decrease gastrointestinal irritation

The pace of weight loss may influence menstrual disruption

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If youre having any trouble breathing, cant swallow properly, or notice your face, lips, tongue, or throat swelling up, call 911 or get to the emergency room right away