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Description

Improved regulation of CBF in response to both transient hyper- and hypotension subsequently protects cerebral microvasculature from hyperperfusive injury and damage as well as ensuring cerebral perfusion is able to match metabolic demand during periods of reduced driving pressures (i.e., orthostatic stress) (Claassen et al., 2021)

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MHRA advises restricted use Loperamide for diarrhoea management when appropriate, but should be avoided if blood in stools, fever, or suspected inflammatory/infectious diarrhoea Laxatives for constipation, with macrogol (polyethylene glycol) preparations typically first-line in UK practice, alongside optimising dietary fibre and hydration Dose adjustment strategies include temporarily maintaining a lower dose if gastrointestinal side effects are problematic, allowing additional time for adaptation before escalation

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This means you do not reach the full therapeutic dose until roughly month four or five

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World Obesity Atlas 2023

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