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doi: 10.1002/oby.22200 Sjstrm L, et al

If muscle symptoms are severe or persistent despite these interventions, clinicians should consider laboratory evaluation including creatine kinase, comprehensive metabolic panel with separate magnesium and calcium testing, thyroid function tests, vitamin D levels, and vitamin B12 levels to exclude alternative diagnoses

If constipation is severe: This is beyond what fiber supplements alone can address

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