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Too much variation in either direction creates problems: Doses too far apart (9+ days): blood levels drop below the therapeutic threshold, reducing appetite suppression and glucose control Doses too close together (5 days or less): blood levels climb higher than intended, increasing nausea, vomiting, and other GI side effects The question "can I take it a day early" is really asking: how much timing flexibility exists before I create one of those two problems

This reactive pattern forms a central litigation theme: that manufacturers waited for definitive proof of harm through patient injuries rather than exercising caution when early warning signals appeared

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