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they could be signs of a deficiency or that youre not tolerating the medication well

Gallo A, Le Goff W, Santos RD, et al

Is this generalizable

This may happen for several reasons

Why Intermittent Fasting is a "Gentle" Start For many Americans, intermittent fasting serves as a low-cost entry point to health because it requires no prescriptions and allows you to eat "normal" foods

There are several possibilities: First, if you've reached your maintenance dose but aren't tolerating it well, your provider might reduce your dose