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Progressive weakness, worsening balance problems, or new neurological symptoms require prompt assessment, as these may indicate inadequate treatment or concurrent conditions

Some patients achieve their target weight within 3-12 months and transition to a maintenance protocol, while other patients are able to go off the medication completely

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The medication helps reduce cravings for sugar and alcohol, both of which increase results.

Clinically, this is often noted in observational follow-ups that track the timing of symptoms relative to weight change and nutrient intake rather than indicating a direct follicular effect