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Safety monitoring parameters: Gastrointestinal tolerance: Keep a symptom diary during the first 8 weeks, noting severity and duration of nausea, vomiting, or diarrhea Hydration status: Monitor for signs of dehydration, especially if experiencing gastrointestinal side effects Abdominal symptoms: Report persistent or severe abdominal pain promptly for evaluation of potential pancreatitis or gallbladder disease Renal function: Assess at baseline and periodically per ADA guidelines (at least annually
Use liver function tests as a first line and consider noninvasive fibrosis assessment when results are abnormal or clinical suspicion is high
S.WynnJ.DevinskyO.ChungW
Some research protocols describe this combination as a pure fat-burning combination
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