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Patrick Folie and Magdalena Biraima-Steinemann have received speaker honoraria from Novo Nordisk
We typically recommend baseline lab work including IGF 1 levels, thyroid panel, and metabolic markers
Lipase inhibitors such as alli or Xenical (orlistat) have been associated with rare liver injury and patients should be alert for signs of liver disease such as itching, yellow skin or eyes (jaundice), stomach pain, loss of appetite, pale or tar-colored stools, brown-colored urine (due to excess bilirubin in the urine)
Yesif youre eating less than your body needs, especially while increasing activity, your blood sugar can dip and cause fatigue, dizziness, or shakiness
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