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The decision to continue, adjust, or discontinue therapy should be based on objective body composition measurements (DEXA scans, circumference measurements), achievement of fat loss goals, tolerance and side effect profile, and physician assessment of metabolic markers
This could indicate dehydration (common with GI side effects), pre-existing kidney disease being unmasked, or genuine acute kidney injury
Do not leave it at room temperature for extended periods
Behavioural support programmes , whether through NHS services, commercial providers, or digital platforms, enhance the effectiveness of any weight loss intervention
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