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Regular blood work is recommended to monitor bicarbonate levels

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It is worth noting that hydroxyzine another first-generation antihistamine sometimes used for allergic conditions does carry an MHRA Drug Safety Update warning (2015) regarding a risk of QT prolongation and Torsade de Pointes

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This flexible approach respects individual variation in tolerance and recognizes that steady, sustainable weight loss over time matters more than reaching maximum dose as quickly as possible

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