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"We are seeing this increase in calls to poison control centers, either for an overdose or for adverse events, and in some cases, that's leading to nausea, vomiting, dehydration, low blood sugar, causing people to have to go to the emergency room and in some cases, be hospitalized," said Parekh

Most side effects improve with dose adjustments or timing changes before a break becomes necessary

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[DOI] [PubMed] [Google Scholar] 119.Kaestner K.H., Katz J., Liu Y., Drucker D.J., Schutz G

Patients think, Why would I go to my doctor and have them say, Eat less and move more, when I have heard that a million times and I don't want to have that lecture again?" Ard said