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MetALD: does it require a different therapeutic option

Typical side effects include: Mild to moderate nausea, especially after larger or heavy meals A feeling of fullness or heavy stomach even after smaller meals Burping or changes in how your stomach feels after eating Constipation or, in some people, softer or more frequent stools Simple adjustments can often make these easier to handle: Eat more slowly and stop as soon as you feel comfortably full Choose lighter, less greasy meals on days when symptoms are stronger Drink water regularly throughout the day rather than in one large amount Go for gentle walks to help support digestion For many people, side effects decrease as their body adjusts and the dose increases gradually

Over time, consistently skipping medication leads to: HbA1c rising above target Silent damage to kidneys, eyes and nerves Higher risk of heart attack and stroke Faster progression to needing insulin Never skip medication without consulting your doctor

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Theres a loophole for companies to continue selling compounded versions