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Growth hormone receptor modulation and its implications for obesity therapy

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Abnormal blood vessels in the esophagus, stomach, or duodenum Conditions such as esophageal varices or gastric varices, which are enlarged and fragile blood vessels, can cause bleeding and result in black, tarry stools

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The conservative approach: at any dose escalation, implement the step-up protocol proactively (add Miralax the same week you increase dose) rather than waiting for symptoms to become severe

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