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Didnt have severe insulin resistance, metabolic syndrome, or diabetes before starting Realistic expectations

Determinations of liver function should be performed in all patients prior to clomiphene therapy

Koehler et al showed that exendin administration induced antiinflamatory genes such as PAP (58)

Blood Pressure Changes Transient changes in blood pressure might occur because of NADs vasodilatory effects or autonomic response

This adjustment period typically produces noticeable side effects in days 1 through 7, with peak discomfort often occurring around day 3 or 4

I am not surprised to see these effects as it highlights the complexity of overweight and obesity as a systemic disease, she added