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Nutrition changes could be a culprit

While body mass index (BMI), the most common measurement used to assess if a person is a healthy weight, is correlated with metabolic health in population studies, there are many people with a normal BMI with cardiovascular and metabolic issues, while many in the overweight and obese range are metabolically healthy

Some patients may need gradual dose reduction to prevent symptom return, especially those who have been taking high doses for long periods

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Book evening appointments to minimize immediate sun exposure

Back pain, urinary tract infection and influenza were reported in a similar proportion of subjects with SEM (0.5 mg and 1.0 mg) and placebo