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It works by triggering the release of certain neurotransmitters in the brain that can decrease appetite

15 Her laboratory tests indicated a pH of 7.2, BG of 8 mmol/L (160 mg/dL), anion gap of 23 mmol/L, and positive serum lactate and ketone bodies

Since then, the landscape has continued to evolve

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In addition, your body typically burns excess visceral fat before it attacks excess subcutaneous fat

This slow, step-up process, known as titration , helps your body adjust and reduces side effects as you work toward your maintenance dose the level that keeps your progress steady and sustainable