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Even so, detection still depends heavily on the type of test being used

Eating your protein first during meals ensures you meet your nutritional needs before the medications satiety effects kick in

Dehydration resulting from reduced fluid intake (due to decreased appetite) or from gastrointestinal side effects such as nausea, vomiting, or diarrhea may precipitate headaches

Persistent or severe upper-GI symptoms warrant a check-in with your prescribing clinician to rule out complications and to discuss dose titration

Supportive behavioral strategies and professional help can be incredibly helpful in these cases

But the impact on millions of others is too severe to avoid the subject for the sake of respecting the privacy of a person who relies on the public eye to make their living