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The appetite suppression, slowed gastric emptying, and central nervous system effects combine to reduce caloric intake by 20% to 40% in many patients

Additionally, patients taking immunosuppressive medications may have altered responses to infections, and any medication causing significant gastrointestinal symptoms could affect absorption of oral immunosuppressants

Understanding the relationship between these medications and fertility helps patients and healthcare providers make informed decisions about weight management and family planning

Excess supplementation may alter detoxification pathways or electrolyte balance, potentially worsening organ stress if not medically supervised

Cureus 16(6):e61783