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But most people find it takes at least a few weeks before they notice a change in their appetite and body weight

Instead: Continue your normal schedule the next day Take the medication properly on an empty stomach Taking extra doses can increase the risk of side effects without improving effectiveness

Consider whether a specialist referral to an obesity medicine physician or endocrinologist would be appropriate

Dehydration can lead to acute kidney injury, particularly in patients with pre-existing renal impairment or those taking concurrent medications affecting kidney function

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The distinction matters because the solution is straightforward: maintain adequate hydration, especially during periods of gastrointestinal distress