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The most commonly reported issues include nausea (especially during dose increases), gastrointestinal disturbances , reduced sleep quality, elevated resting heart rate (one user noted a 10 bpm increase by week 4), and acid reflux when eating late in the day
Insulin resistance: Patients with metabolic dysfunction, including pre-diabetes or difficulty managing blood sugar, tend to see meaningful improvement in metabolic markers alongside body composition changes
Medication is layered onto a traditional framework centered on tracking, routine, and group accountability, with an emphasis on consistency and adherence rather than ongoing behavior-change coaching
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