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Description
The goal is to find a dose that can be used safely, consistently, and comfortably enough to support the treatment plan

In some cases, clinicians may suggest alternative medications to support metabolism or appetite control

[59] Nephrocalcinosis has been observed with topiramate use during postmarketing experience

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Fatigue is another commonly reported effect at this tier, though it typically resolves within the first two weeks

Alcohol tolerance often decreases on GLP-1 medications, and the caloric impact of alcohol can undermine weight loss progress
