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Individuals must approach Noom cautiously and seek professional guidance if they experience any negative thoughts or behaviors related to food or body image while using the app, she says

Mitigate most common GI side effects with starting low doses, escalating the dose slowly if needed, utilize anti-emetics and prokinetics as needed, eat fiber, maintain hydration, consider coordinating with psychiatrist/therapist, and anticipate need for insulin adjustment to prevent hypoglycemia

Diabetologia 50: 142150, 2007

If large glasses feel impossible, use small, frequent sips through the day instead of trying to catch up all at once

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