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Regular, on-schedule dosing combined with appropriate nutrition , adequate protein intake , and physical activity produces the best outcomes

What happens next is an open question

Weight loss recommendations may be particularly important for patients at highest risk for weight gain and cardiovascular morbidity, such as young/premenopausal patients, postmenopausal patients with estrogen receptorpositive disease on endocrine therapy, and/or preexisting cardiovascular disease risk factors

You want to minimize how much nausea, fatigue, and GI effects interfere with your daily life

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Doc is no help, doesn't think that the jab is the cause