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A competent clinician will maintain your established dose unless there is a clinical reason to adjust

1) Stay hydrated, on purpose Dehydration can harden stool

Im not exhausted and miserable from eating junk every day

effects persist with ongoing use Stopping: Research shows approximately two-thirds of lost weight returns within one year of stopping Long-Term Comparison Both medications are intended for ongoing use

Fatigue that appeared manageable early on can become more pronounced if nutritional deficiencies have developed due to prolonged reduced food intake

Since those with diabetes suffer from high blood sugar, this kind of medication can help bring their blood sugar to a safe level