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Additional monitoring considerations include assessing for symptoms of pancreatitis (severe, persistent abdominal pain), gallbladder disease (right upper quadrant pain, fever), or diabetic retinopathy changes

You may experience occasional heavy menstrual periods or bleeding between periods (intermenstrual bleeding)

If you've been dealing with chronic fatigue, high stress, or have been hard on your liver, you might need a few more sessions initially to rebuild your glutathione stores

Its important to understand that even though the BMI criteria are there, they are mostly there to guide us, explains Asad Niazi, MD, lead physician at Shed, a virtual wellness clinic