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To keep patients safe and outcomes strong, consider the following clinical best practices: Start low, go slow on dosing Monitor for GI symptoms, especially early on Revisit mental health and vision concerns routinely Avoid use in patients with thyroid cancer history Stay alert for signs of pancreatitis or gallbladder issues Smart oversight matters

Katafuchi, T., Yasue, H., Osaki, T

doi: 123 YangCYChenYROuHTKuoS

So between these long periods of not eating and eating a ton, they must have some way to keep their metabolism running smoothly and their blood sugar balanced

PMID: 12960095

Gao L, Lee BW, Chawla M, Kim J, Huo L, Du L, et al