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Calabrese et al., The Lancet , 2004
While temporary fatigue may occur early in treatment, improved blood sugar stability, weight loss, and better metabolic function often lead to increased energy over time
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Every patient receives a medical consultation before treatment begins, during which providers review kidney function, blood sugar history, medications, and other health conditions
In practice, a responsible approach looks like: Clarify whether weight change is primarily metabolic or driven by sleep disruption, thyroid issues, mood, medications, or eating patterns Consider whether hormonal treatment to lose weight, or broader hormonal weight loss treatment, is appropriate
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