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doi: 10.1002/cncr.34198
If side effects become problematic, your healthcare provider can extend the time at your current dose, pause advancement temporarily, or recommend staying at a lower therapeutic level
A key lesson is the need for ongoing support
A safer approach is to use psyllium before meals
PMID 29915923
Specific criteria include a BMI of 35 kg/m or above (or lower in certain ethnic groups), problems associated with high weight, or if insulin would otherwise be initiated but presents significant occupational implications
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