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This mandatory fasting can lead to negative effects like discomfort, irritability, dehydration, and a drop in blood sugar levels

In the presence of metabolic acidosis (excluding lactic acidosis or ketoacidosis), isotonic bicarbonate should be given

The environment in which it operates, your body, your habits, your concurrent interventions, influences the speed and magnitude of results

Third, lower initial doses help you identify the threshold at which you experience meaningful appetite reduction without excessive nausea or digestive discomfort

Treatment usually starts at a low dose and is increased in steps over several weeks, so the gut has time to adapt
