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Intermittent fasting: consider the risks of disordered eating for your patient (Blumberg et al.) Clinical Diabetes and Endocrinology (BMC / Springer Nature) 2023 Supports the 'who should not fast' section: intermittent fasting can reopen disordered-eating patterns and should be avoided in people with an eating-disorder history, and used with extreme caution in adolescents, pregnant/lactating women, and older adults

Ahmed added that with price rise and supply issues largely affecting the highest dose of Mounjaro, patients who wished to continue at such levels were resorting to buying multiple injection pens of lower doses to use consecutively

Your healthcare provider can assess whether investigation for underlying causes is needed

Reported discontinuation rates due to AEs were higher than observed in similar real-world studies with subcutaneous semaglutide, where rates of 45% were reported [21, 24]

If psyllium alone is insufficient after 2 weeks: Add magnesium citrate at 200 to 400 mg daily
Increase fiber gradually through vegetables, whole grains, and legumes rather than supplements alone, which sometimes worsen bloating
