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The tiredness isnt usually a direct effect of the medication itself but rather a result of the rapid changes happening in your body
If taken with insulin or an insulin secretagogue (ie sulfonylurea) it is best to talk to your healthcare provider about possibly lowering the dose of these medications to lower the risk of hypoglycemia
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It works best for individuals who seek steady, sustainable improvements in appetite control and digestion, rather than extreme, rapid results
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