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In more severe or urgent situations, such as with severe IIH, surgical intervention for weight loss is a possible treatment option

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Riddle MC, Forst T, Aronson R, et al

[DOI] [PubMed] [Google Scholar] 129.Bakris GL, Agarwal R, Anker SD, Pitt B, Ruilope LM, Rossing P, et al

Potential adjustments include confirming you are at an adequate dose (some people need to reach 8mg or 12mg before seeing meaningful movement), auditing protein intake and meal timing, evaluating hydration compliance, or discussing the protocol with a healthcare provider