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Electrolyte imbalancesparticularly low sodium and potassiumcan also contribute to persistent tiredness

Skipping doses or irregular timing delays or diminishes the effect you feel

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[DOI] [PubMed] [Google Scholar] 28.Beinborn M, Worrall CI, McBride EW, Kopin AS

Monitoring Protocol Watch for: Persistent vomiting Abdominal pain Visual symptoms Excessive weight loss Weakness / falls / sarcopenia signals This is good practical OPD monitoring and is aligned with real-world use, though exact frequency should be individualized