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Dose changes can temporarily amplify fatigue as the body adjusts
Signs of dehydration include thirst, dizziness, dry mouth, headache, fatigue, sunken eyes, lack of tears, low urine output, and dark-colored urine

Additional comorbidities, including digestive system disorders (63.21% vs 64.77%, p=0.7504) and circulatory system disorders (26.94% vs 25.91%, p=0.8174), were also well-balanced between groups (Figure 1)

Only 1% or fewer of participants reported suicidal ideation or behavior during treatment

Any alternative that produces significant weight loss, whether pharmaceutical or otherwise, carries a similar risk of telogen effluvium (temporary, diffuse hair shedding)

When in doubt about medication integrity, patients should contact their healthcare provider or pharmacist rather than risk using compromised medication
